HomeMy WebLinkAboutBatistaALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
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 xxxxxx
Address: 504 OLEANDER AVE
Legal Description: RIVER PARK -UNIT 2- BLK 18 LOT 2 (MAP 34/22N) (OR 3284-36)
Property Tax ID #: 3419-510-0217-000-5 Lot No. 2
Site Plan Name: OLEANDER Block No. 18
Project Name: Batista
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Electrical for permit 1707-0169
CONSTRUCTION INFORMATION:
Additional work toe pertormed under this permit — check all h appy:
HVAC Gas Tank ❑Gas Piping _ Shutters L]Windows/Doors
ZElectric ❑ Plumbing Sprinklers Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 900
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Euclides M Batista
Name: Donald B Green
Address: 1448 Wintercross Ct
Company: Don Green Electric
City: Marietta State: GA
Zip Code: 30066 Fax:
Phone No.
Address: 1305 W 1st Street
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-418-5739
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: dongreenelectric@gmail.com
State or County License: EC13007447
If value of construction is 52500 or more, a RECORDED Notice of Commencement is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
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.
_ s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Ho1di
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The fo oing instru ent was acknowledged before me
thio day of 20(1—by
(Sign ttur�f Notary Public- State df Florida )
Personally Known --
now OR Produced Identification
Type of Identification Pro ced
Commission No.
Revised 07/15/2014
JOY W INE COPELAND
MY COMMISSION #FF948042
Bonded through 1st State Insurance
The for oing instrume t was acknowledged before me
this day of
L by
Personally Known OR Produced Identification
Type of Identification Pro uced
Commission No.
JOy CHRISTINE COPELAND
My(*SION #FF948042
EXPIRES: JAN 05, 2020
i,, aed thrminh 1St State InSUranCB
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