HomeMy WebLinkAboutBuilding Permit Application From:Lori Diodato Fax:(772)924-0199 To: Fax: (772)462-1578 Page 3 of 6 0711312017 5:26 AM
ALL APPLIWLE INFO M 5T BE COMPLETED FOP,APPLICAT€ON TO BE ACCEPTED
Date,
• .--. Permit Number:
..............:...........
guilding Permit Application
Planning and 17eveinpn,vnt S.-rv1cEs
Building and Code.Regu[ation Divi.sinn
23170 Virginity Avenue,.Fort Pierce FL 34982
Pho,,*(.772)462-1553 Fax:.(772)462-1578 C{Dtl'imercial Residential x?=xx
` PERMIT APPLICATION FOR: Electrical _
:s
El
a
Acid ress- •� �"a- �a:,c s•�i;'�'?�� ���$ 1�;e S ��
Legal Descripdon: rnsidstone(Pb-43-11)to 03 25332436a {�iCfiS4 art mac}'
Property Tax 10#:... Lot Ifo.
Site Plan Name, Block No.
Project Ngm.e:
_
-Setbacks .Front. Back: _Right Side:. _Left Side:
.............
install nevi circuit for hit tub
7.
Fiona work to c e orrne`d—i��sdert.ssper(n�. cnec rfhUtters
Windows/Doors:
L i Electric L_) Plumbing �Sprinklers 7 Generator �Roof Rao#pitch
Total Sq.Ff of Construction: 5 .Ft.of First Floor:
Cost of'Constructi.on:$ 1 iQO.do Utilities:Sewer Septic Building Height:
z� If
N >> ITOR
r4 jrnewilliam Woicdc6dc-E!10an VVoodcock
Name: Al pi0eatc
--
Address:. 'faidstwne Drive "� .� (� : Company. ALT Electric,lr .
t'or St Lucie
CRY:_....__... ..._State:F: . Address: 34()$SSE Mall.Terrace
3493.6 .`.
Zip Code: Fax:_ City: Port St Lucie State:FL
Phone N -
o,. _ Zip Code: 349&4i ax:
_.._ i
I
Phone No..
7:7 2-528-5056
Fill infee simple Title Efold.er an next page if different E-Mai!. .0. TtiQN-YDIODA"€`rJ(n7GFAAIL.C:(Ztdf
from the Ctwftea listed above) : state or C6unty License,- E613007359
If ua€ue of construction is-$2500 or more,a RECORDED Notice of Commencement is required.
From:Lori Diodato Fax:(772)924-0199 To: Fax: (772)462-1.578 Page 4 of 6 0711312017 5:26 AM
Ci ty. State, f City:
-e":
zip.. Phone: Zip: Phon
FEE SIMPLE TITLE HOLDER:, Not Applicable BONDING COMPANY: Not.Appricable
Name.
Address- Address;
City: City:
Zip: Phone: Zip-,. -Phone:,
I Certify that no world or WmMOncCd Prior W the issuance,of,,permit.
St.Lucie Coun M,�ke.5 no repres0fation that.is granting.a pq YnR:will authorize-f he permit holder to build,the subleict structur6
Which is in-coo7act withanyapplicabic-Hol-ne-OWrterS ASS()Cla-,!On Mies,bylaws or and covenants that may restrict or such
structure-Pte.asc-consult troth your HompOwnersAssociation and revlevl your Gleed for achy restrldtlnir3_q:xhich
Inconsideration:of ihegranting of this re.quested permit,I do hereby agree that 1 will,in a-li-feso.etts,per-orinthe work
in accord4fte With the approved plars,the Norida Building Codes and St,Lucie County Amendments,
'he inflowing'building permit applications are exempt 'rorn undergoing a fdIl concurrency review:room addKiovs,
accessory strut tures,swimming pools,fences,walis,:s1pis,screen rooms and accessory uses to another nort-residential use
WARNING TO OWNER;Your failure to 11ecord a.Natire df-Coiniiie-ncement 'May result in your paying ttwlce for
fmprovements to your prqperty, kNotice of Commenceinent mustbe recorded and pasted on the jobsite
before the first inspieiction. If you intend"to obtain financing,conwit with lender or an attorney before
3Lqyr N
or rico �i ti &'ce Com mencernent'.
q
!Qnaw—re of e/Contractor as Agent for Owner j Sign'atilr8 Cf 1 fiOEaTtlCerlSG holder
-STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF.,—-ag
COUNTY(jF-,.--
The forgoing instrurnent,was acknowipciped beforelbC 9! �'g The forgoirigIn instrument was:acknowledged before me
I
this 2".,day of sir 20 0 by. -M th is., day of jUNE 20 .. ....by
6
Ac,-,w Dice Anthony Uodatc>
(Name n
(Name of gerson ackrowledgingder; qg
(Name�q cargo ac�fiovvled&6).
/I/l, A //
h
"4*11-,
a
(51krifure of N atary Public-Staii�of gnartu rj of Notary Oublic.....State of Florida) rg
ins, Personally Known OR.Produ ed Identification
Perwhally Known xxx OR Produced ldendfjcad�
Type of ldentlflzmfloirk Produced Type of idetitification Produced
(-sea,)
(Seat)
Revised 0/1S/2014
REVIEWS FRONT ZQN11NC3 SUPFRVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW R.EVIEW i REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS