HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number;
a •1 J�,.,� �:,r,.�s3
Building Permit Application
Planrdn0 and Development services
Dutldln0 and Code Repuladon Diviston
2300 VIr(11I Avenue, Fort Pierce FL 34982 X
Phone; (772) 462-1553 Fax;(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR; To Select from dropbox, click arrow at the end of line
Mr 9
Wyla
VA IN
T F (.`. 'i 1' F 5 :t• i ) lid _ ' 7�
Address: 6606 GAVTOTA
Legal Description: SPANISH LAKES FAURWAYS —
1306-500-0127-000
Property Tax IDA; -3 Lot No, 2591
Site Pian Name: WAYNE HAYES Block No,
Project Natne: WAYNE HAYES
Setbacks Front Back; Right Side: Left Side:
3
v i G? e` c 1
6
INSTALL POWER TO ONE SHUTTER WITH REMOTE
SLC 17080190 PERMIT # Folding Shutters
Iia, f .
L4 •' •-
% 1 (0110 wo Oo e r orme unt er 1 s Cann - c lac a app Y:
EGas Pi In _Shutters �Whulows/Doors
HVAC LJ Gas Tank p 8
GElectrlc 11 Plumbing Sprinklers Generator hl Roof
Total Sq, Ft of Construction; sc Ftj. of First Floor:
Cost of Construction; $ 600 Utilities; I� Sewer Septic Bullding Height;
1: Ivy
"1 JAMES P WILLIAMS
Name Wayne H Haves Name:
Address;,6606 GAVIOTA Company; ARLINGTON ELECTRIC
FORT PIERCE State; Address; 3251 SE DIXIE HWY
City; r___.-- ----- STUART State: PL
ZIP Code: 34951 Fax; City:
Zip Code! 34997 Fax; 772-287-2380
Phone No, 978-758-8499 --
: Phone No,772-287-1353
(Ififferent StaFill In fee simple Ttde Holder on next pagedre @arlinato
nelectricinc,conl
State o Counicen�seEC0000127
from the Owner listed above)
If vnlue of construction is $2500 or more, a RECORDED Notico of Comlflancetnent Is raryulrecL
Name;
Address;
City: _ _ State;
Zip: Phone: _
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip; Phone:
MORTGAGE COMPANY:
Name:
Not Applicable
_
Address:
SUPERVISOR
City;
Zip: Phone:
State:
BONDING COMPANY:
Name;
` Not Applicable
Address:
COUNTER
City;
REVIEW
Zip; Phone:
REVIEW
I certify that no work or installation has commenced prior to the Issuance of a permit.
structure, Picaso consult with your Homo owners association and review your (tome ter any restrictions wnfcn 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 bullding 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•rosidantlal use
WARNING TO OWNER: Your failure to Record a Notice of Commoncentent may result in your paying twice for
Improvements to yourpproperty, A Notice of Commencement must be recorded and posted on the Jobslte
before the first lospectian, If you Intend to obtain financing, consult with lender or an attorney before
/ 7 „
SI natur of owner/ Lessee/Agont Sig atur f Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MARTIN COUNTYOF MARTIN
The forgoing instrumont was acknowledged before me The forgoing instrument was acknowledged before me
thIs_2_5dayof AUGUST 20I7by this 25doyofAUGUST 20 17 by
JAMES -P WILLIAMS JAMES P WILLIAMS
(Name of persoonn acknoowledgina- fName of person acknowledging)
I�
rm�,oruru n n ru ouhOc..Stete mf Florldn) (Slgnalure of N&M pubjic•State of Florida)
Personally Known
Type of Idontifical
Commission No,
Revised 07/15/2014
Cor�g�j'on N GG 033149 lCommIsslon No,
My Comm., C=on
Sep 25. 2020
Notary Public Slate or f 1,.� ,,
460dsion # GG 033149
My Comm. Expires Sep 25, 2(
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DRTE
COMPLETE _
INITIALS