HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��
Date: 3 'lr' I Permit Number: iol
Building Permit Application JUL 1329V
Planning and Development Services PE; fi11 Ti i,
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 0
PROPOSED IMPROVEMENT LOCATION:
Address: 8402 winter Garden Parkway Fort pierce
Legal Description:
Property Tax ID#: 1301-605-0356-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Mcfield
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPT y,
ION OF WORK:
Install 120v 20amp Dedicated GFCI circurt
=CO_ KSTRUCTION INFORMATION ,-
Additional wor toe nertormed under this permit—check all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
R]Electric ElPlumbing ❑Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 700.00 Utilities:Cn Sewer D Septic Building Height:
'OWNER/LESSEE -: `= CONTRACTOR:
Name Robert Mcfield Name: Anthony stumpp
Address:8402 Winter Garden Parkway Company: Millennium Contracting Services inc
City: Fort Pierce State fl Address: 9015 se hobe ridge road
Zip Code: 34951 Fax: City: hobe sound State:fl
Phone No.810 240-3528 Zip Code: 33455 Fax:
E-Mail: Phone No. 561 718-9422
Fill in fee simple Title Holder on next page(if different E-Mail: mcsielectdc@bellsouth.net
from the Owner listed above) State or County License: EC 1300-1885
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SU.PPLEMENTA ONSTRUCTION LIEN;LAW INFORMATION;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con tlict 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
con=eodng work or recording our Notice of Comm enceme t.
s
0griatuM of r/Lessee/C tractor as Agent for Owner S nature Co ,ct6r/LicenseAdrder
STATE OF COUNTY OFM�/u/L.[ STATE OF FLORA n ,
COUNTY OF IIS- CJ
The fo oing instrume t was acknowledge ore me The 79day
ing instrumei as acknowledge fore me
this day of 20y this of 20 y
(Name f per acknowle ng) ( ame of p rson ackn I ging)
(Signature fN bl' -Sta of Florida) (Signatur of lic-State of Florida)
Pe
P " �g$10 ERntification Person I y,
Wn COTJf rcpbVR
&nt cation
fGGOType o � IFN 0 88611911-22
Ty ifi tXPIRES November 2� � EXPIRES November 21,20�De oal)Ctr.4
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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