HomeMy WebLinkAboutBuilding Permit Application Jul 0317,08:05a Aultbros 7722830321 p.1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -1
Date: Celo—J-2An Permit Number:
RECEI`.'rD jUJ 0 3 1017
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSE�D'IMPROVEMENTlOC-ATION -.: .: ,,: ..;. _._:... :.:.. .. ...... .-. _
Address: 151 Pepper Lane,Jensen Beach, FL 34957
Legal Description: Bay Tree Lot 4(OR B41-2489)
Property Tax ID#:4511-503-0010-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DI=TAI
-ED. MIPT14IV OF:WORK
Remove and replace existing electical distribution panel
CONSTRUCTI ON..I N FORMATIdN;
Additional work toe performed under tispermit-check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric E�Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,500.00 Utilities Sewer Septic Building Height:
OU1tNER/LESSEE : :::' . . :CONTRACTOR: .;..
Name Bob Lehtonen Name: Michael Dale Ault
Address:151 Pepper Lane Company:Ault Bros, Inc.Electrical Contractor
p Y�
City: Jensen Beach State:FL Address: PO Box 1528
Zip Code 34957 Fax: City: Port Salemo State:FL
Phone No. I Zip Code: 34992 Fax: 772-283-0321
E-Mail: Phone No. 772-283-5520.
Fill in fee simple Title Holder on next page(if different I E-Mail: aultbros@yahoo.com
from the Owner listed alcove) ' State or County License: EC0001693
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Jul 0317,08:07a Aultbros 7722830321 p.1
SUPPLEMENTAL.CONSTRUQT-jQ 11EN-LAW INFORMATION:`
DESIGNER/ENGINEER: _;foot Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: —Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit,
St.Lucie County makes no representation that-is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
&Z s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor License Ho der
STATE OF FLO?Rp � STATE OF FLORIDA
COUNTY OF I � ��" COUNTY OF 'Rkl
The forgoing instrument was acknowledged before me The for Ding instrument was acknowledged before me
this�Z day of J wn•t- 20 LI—by this d� dayof 31w/►L ,20 by
,(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Flori ) (Signature of Notary Public-State of FI ida)
Personally Known OR Proce,d Identification sonally Known OR Produced Identification
Type of Identification Produced v� TTy e of Identification Produced L, V
lc ida A'iRIR
Commission No ^;:.,Seal pubkc.State of F 1N1d1E
D o /d ( e Public,Slate of n314
c, )C121y 149313Co mission No. !�
o' R; Commison}FF1 2018 ��{ L`�un Commissionh FF 14 58
:c E"t a F rom n expires Aug. o Au9.1i),
z n e �T85
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS