HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
e August '28f 2017 Permit Number-,
Building Permit Apaiicaxion
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Commercial Residential
Phone: (772) 462-1553 Fax: (772) 462-1578
PERM[TAPPLICAT[ON FOR: To Select from dropbox, click arrow at the end of line
Address: 10753 S US HWY#]
Leal Description, ST LUCIE GARDENS 12 37-40 BLK 4
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PropertyTaXID#:- 3414-901-5004-300-4 Lot No. 4 4
Block No,
Site Plan Name, GOLDEN CORRAL
Project Name: FEEDER REPLACEMENT FOR GOLDEN CORRAL
Setbacks Front Back: Right Side: Left Side'.
4-350 MCM IN EACH OF 4 -CONDUITS.
REPLACING CONDUCTORS THAT WERE STOLEN.
CONDUIT AND GEAR ARE EXISTING.
itiona wor to e ner orm under
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this perm)
Gas Piping
-apply:
Shutters
Windows/Doors
HVAC Gas Tank
Roof
Electric Plumbing
Sprinklers
J Generator
Total Sq. Ft of Construction:
Cost of construction: $
Sc, Ft. of First Floor:
Utilities: [I Sewer Septic
NameSBN IV LLC Summit investment
Ad . dress: - 1700 Lincoln St. #1250 co
Cit Y: Denver state:
ZiCode: 80203 Fax. 6303-830-9538
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Phone No. 7 2 0-2 21— 3 14 0
E -Mail: rblock@su=it*—investment . com.
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height;
Name: JAMES P WILLIAMS
Company:. ARLINGTON ELECTRIC
Address:- 3251 SE DIXIE HWY
City: STUART State: FL
Zip Code: 34997 Fax: 772-287-2380
Phone No,772-287-1353
E -Mail: gregg@arlingtonelectricinc com
State or County License:. ECO 00012 7
If value of construction is $2500 or more, a RECORDED Notice of Co mmencement Is required.
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DESIGNER ENGINEER: - Not Applicable
MORTGAGE COMPANY: Nat 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 ,Count ,makes no representation that is granting a permit will authorize.the permit holder to build the subject s ructure
County o d covenants that may, restrict or prohibit such
which is �n conflict with any applicable Home Owners Association rules, bylaws or which may apply.
structure, Please consult with your Home owners Association and review your deed for any restrictionsY
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 tinspection,
your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first nspection. !f you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
'r.
_ Sianatu of owner/ Lessee/Agent
STATE OF FLORI
COUNTY OF
The forgoing instrument was. cknowledged before me
this I� d ay of 20 1 1by
:
(N-atr e of person acknowledging)
N
It
ICA
Si ure of Notary Public- State of Florida )
Personally Known
Type of Identificatio Pro,�'t`rJrJ/�,! CHRISTINEM.SCOGGIN�
.�,* �_State al HaHdd
o Ory
Comission 4 GG 126108
Commission No. ': n * Illllil(I :� My Co �ires Aug 2, 2021
cry Bonded through National Notary Assn.
Revised 07/15/201.4
Svim` F
a
Signa'ure f Contractor/Llcense Holder
STATE of FLORIDA
COUNTY OF MARTIN
The forgoing instrume t was acknowledged before me
this :, day of 24 by
JAMES P WILLIAMS
(Name of person acknowledging)
*19neure of Notary Public- St e f Florida)
Personally n irlca� f�
T e of ide ifs, f;%o f�PT0du� ISTIN;: M.SCOGGIN
Yp 10 r: Notary u- State
Commission 4 GG 126108
Commissio— mm. Expires AAS,E'al)
li;,nd�t I through National Notary Assn.
REVIEWS
NT
ZNING
SUPERVISOR
PLANS
VEGETATION,
EA
S REVIEW
MANGROVE
REVIEW
CFRO
OUNTER
ROVI W
REVIEW
REVIEW
DATE
COMPLETE
INITIALS