HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLIC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
I ,
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
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 7280 Reserve Creek Dr., PGA Village,,Port St. Lucie, FL 34986
Legal Description:
Property fax ID#: 3.30, 601 0013 — 066 / Lot No. 11
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side.
[DETAILED DESCRIPTION OF WORK: I
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Miscellaneous electric to relocate existing electrical outlets/switches,to accomodate new interior
layout/wall partitions. Replace (3) existing exhaust fans in guest bathrooms and cabana bath.
CONSTRUCTION INFORMATION:
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Additional work to be nertormed under t ispermit—check all appy:
❑HVAC _Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
Electric ❑Plumbing ❑Sprinklers ❑Generator ❑Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 1100.00 Utilities: _Sewer❑Septic ; Building Height:
OWNER/LESSEE: I CONTRACTOR; j
Name k Name: John Angarola
Address:� / U Company: Southeast Electrical&MAnt Corp
City: /t44n / State:C? Address: 721 SE Sweetbay Ave
Zip Code: D 0 57'1111 Fax: City: Port St. Lucie I State:FL
Phone No. Zip Code: 34983 ? Fax: 772-879-7898
E-Mail: Phone No. 772-87$-7019
Fill in fee simple Title Holder on next page-(if different E-Mail: seemc96@aol.com--:',
from the Owner listed above) State or County License: EC13003327
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required..
SUPPLEMENTAL CONSTRUCTION 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 County makes no representation that is granting a permit will authorize thepermit 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 t firs spection. If you intend to obtain financing, consult with lender n attorney before
cornWrItinVk or recording our Notice of Commencement.
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g ature of wner/Lessee/Contractor as Agent for Owner SigVNTY
Contract License Holder
STATE O FLORIDA ST FLORID
COUNTY OF S� c� COOF `,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this '.-S day of 2011 by this 3 day of 20t-) by
(Name of p rson acknowledging) (Name of perso acknowledging)
O�
(Signature of Notary Public-State of ftorida) (Signature of Notary Public-State of orida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced- . - -
=,, ASa��y'1�•�a. 135-IRS,
Commission No. (Seal Commission No. (Seal)
"�" @��- Notary
Irgcjhi, 1 C ;a, ,`�, Notary Public-State of Florida
Revised 07/15/2014 •p •- y Public-Sfate o r ?• My Comm.Expires Dec 20,2018
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DATE
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