HomeMy WebLinkAboutBuilding Permit Application Aug 2317 02:54p New Electric,LLC 8638756942 p.1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE AMPTED J ply
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Date: A, 1 ! P6rmit Number; 1'{► V
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Building Permit Application AUG 3 201?
PlanrOq and DovelDpment Services PEfU.4117iNG
Building and Code Regulation Division St. Lucie COUntyr, i=L
2.300 Virginia Avenue,Fort Pierce Ft 74,982
Fhane.(7.72)462-1553 Fax: (772)462-1578 Commerdal -.-_.--_ Fbsidential
PERM ITAPPUCAMON FOR To Select'from drop box, click arrow at the end of line
IPF40VEM ENT L/JCA1 ION:
Address;
Legal Description:
Property Tax ID - 6/ Loi Na-
Ste.Ran Name: _ Back No.
Project Name: orw z&< -- ...-..._ -
Satbacks Front Back: Fightlde: Left Sde:
MAILM 0MCRFMON OF'U1 CW
(Z>rrtr�u� Rr N-A c6 400A 1 SO Z40Y/ c . ..WEN A 3 YZ PuSIL
qt'SCoN0gCT . go To FAtt oRS DlF I Pr1ASE eo,,iutrc--Baru
e N tyl S-ri+V 6 p71 S WN 9V 6 CT
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;UC'1-lON INATION:
9Work"td�e crmc un er is permif=c�rec�i aTC�app�y:
11l NAC ff asTank LGasFiping L .JSiutters DWindowslDoors
Zsecthc ❑ Plumbing L]Eprinklcrs Generator D Fbof Roof pitch
Total,13q.R of Cpnstruction: F#.of First boor:
Cost of Cbnstruction:$06,5'4() l.)tiiities ewer D�;ptic Building I-)eight:
OWNBRfel 1iAG"I'C7Ft
Name, Name, F k C.:W"dT _...
ACidre AaQ.e J � _ Company, tfL7Ow [TALC _ 1..0
_ Sate:)W Address � GD C4tbt�,""Q't-"r-TOGO
City:, f..,_......_—
Zip Code Fax: __6666.. Oty: W1 Fc-
Phone Na p
.a.�......�
Phone No. �..
IMail: �
Fill in fee simple Title Holder on next page(if different E-Mail: iQAN IC J(11�l�a C
from the Owner listed above) State or County I,iCense: E'C 40D2
—14
6.666._... 6666.i...._..--•-•--•--- -C-. . ._...—_. ......... .:.. .. . .........._
If value of construction is$2500-or more a RECORDED Notice of o_.mmencement iK required.
Aug 2317 02:55p New Electric,LLC 8935758942 p.2
I�SUPIR MENTAL CONSTRUCTION LIEN LAW IN AMOK: i
DESIGNER ENGINEER _Not Applicable MORfGAGE OOMPAW: _Not Applicable- —
Name: Name:
Address: Address:
My: _ M ._.Rate:m� �. Oty: Sate:
Zip: Phone dip: - -- Phone-
RETITLE HOLDER
hone-RETITLEHOLDER Not Applicable BONDING COMPANY Not Applicable
Name: X Name: _�.._..�-.
Address: Address:
(qty: City.
71p: ---•• mPhone.--- Zip: Phone:___._. ._
OWNM OONTRACTORAFFIWT:Appiic:wior,ie,,hereby made to obtain a permit to do thework and installation as indicated.
I Certify that no work or installation has commenced prior to the issuance of apemlit.
S.alae Onunty makesno representation that isgranting apermit will aulhorim the permll holder to build the subliect structure
which is in conflict with any appl icable Home Own ers�opation rules,bylaws or and eovenantsthat may restrict c5r prohibit such
Structure,Please Consult with your Home Owners,assoaation and review your decd for any reAridiions Which may apply.
In consideration of the granting of thisroqucsted permit,I do herebyagreethat I will,in all respects,perform the work
in ac=rdancewith the approved plans,the Rofida Building Cbdosand S.Lucie CbuntyAmend ments,
The following building permit applications are exempt from undergoing afull concurrency review:room additions,
accessory structures,swimming pool5� fences,walls,signs,screen rooms and accessory usesto another non-residential use
WARNING TO OWNER Your failure to Riacard a Notice of(bmmencement nW result in your payiNtwice for
improvements to your property.A Notice of(bmrnenoement must be recorded and posted on thejobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing w k or recordingyour Notice of Opmmeneement.
Sgnr f Owner/ Lessee/O�n--t-rador as Agent for Owner :xEOFFLDF;dDA
tire of(bntractor/license Holder
STA F FLORI DA
� OF M OOLINTY OF
the forgot�g illstrumen as ad<nowledged before me The forgoing instrum t was acknowledged before me �
this� •i�ay of _ 20� y this day of ,206y i
flame of per so making statement nme of person making statement
Personally Known ORProduoed Identification Personally Known G 4ftlroduced Identification
Type of Identificatio Type of IdentifiC<)tion
Produced Produced
(Sgnature of Notary Publio- 5 nature df Notary PUblio-Nate of Porida)
«�••d", EBEOCA HARRI `"" I�SCCA HARRI
Cbmmi.sion No. 3 ( �miy;�on q FF JU3 F3� isson No.� � ^�'`'•
�Mig$ipn a FF X035
t My Cnrnmisston Ekpas "' My Commisslurl Ex{7ir s
July26. 2019 ; . July 26, 2019
FBAEVVS FPCNT PIING aJPER\ASJR PLANS VOMTATION ; TATURTLE MANGFOVE
ODUNTER PSA LVV FSABN F PHEW FeAWI FSA EVV FEVIEVV
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