HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Cy I t 1 17
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ry
Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential xxxxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 7402 Sebastian Road Fort Pierce, FL 34951
Legal Description: lakewood park-unit4-blk, 36 lot5 (map 131/11n) (or 1398-2271: 1409-344
Property Tax 1D#: 1301-604-171-000-0
Site Plan Name: Wesneski Residence
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK.-
like
ORK:
like for like replacement of 200 amp riser, wire and weather head 210 copper
CONSTRUCTION INFORMATION:
��rtjjraer na wor to e e Orme un i 1:15permit c ec a appy;
LJHVAC Gas Tank ❑Gas Piping 1:1Shutters
Electric ❑ Plumbing Sprinklers 0 Generator
Total Sq. Ft of Construction:
SFt. of First Roar: _
Cost of Construction: $ 1151.58
Utilities: � Sewer Septic
OWNER/LESSEE:
Name Susan Wesneski
Address: 7402 Sebastian Road
City: Fort Pierce
State:FL
Zip Code: 34951 Fax:
Phone No.772-240-5607
E -Mail: susanwesneski@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Lot No.
Block No.
QWindows/Doors
Roof = Roof pitch
Building Height:
Name: George Hand
Company: My Electrician
Address: 750 NW Enterprise Drive
Cit Port St Lucie
City: State: FL
Zip Code: 34986 Fax: 772-621-2885
Phone No. 772-878-3974
E -Mail: Idiodato@mirandacompanies.com
State or County License: EC13003398
If value of construction is $2500 or more, a RECORDED Notice of Cammencement
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Expires: Feb. A. 2W
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION•
DESIGNER/EN \[NEER: -- Not Applicable
Na me: Susan vvesnesk
,r
Add ress: 7402 Sebastian - d Fort Pierce, FF_ 34951
City: Fort Pierce
State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: �`
Ad d re ss: 750 NW Enierprise Drive
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Nam ' George Hand
Add re 7402 Sebastian Road
City: Ports ucie
State.
Zip: _ Phone:
BONDING COMPANY; Nat Applicable
Name:
Address:
City:
Zip: . Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 1 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
commenci work or recordin our Notice of Commencement.
I
ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFST-1E
The forgoing instrument was acknowledged before me
this 13 day of sept
zo_ by
L,eorge Hand
Name of person making statement
Personally Known XXxx OR Produced Identification
Type of Identification
Produced
y
(Signature of Notary Public- State of Florida j
Commission No,
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev. $/2/17
uld'o M
Co Rion I GG0M
Expires: Feb. 9, 2021
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OFSTLJ=PE
The forgoing instrument was acknowledged before me
this 13 day of Sept 20_ by
George Hand
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- tateoorida J
Lod DW#D
Commission No. a
Iam*Sion
Expires: ftb. O, 2021
FR0V...... ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
J
ELECTRICIAL RISER PLAN
NOT TO SCALE
DUnderground
Overhead
Grounding Electrode Conductor Size
CJ #6
W"#4
❑ #2
LJ Other
CONSTRUCTION TYPE:
O Commercial
4(Residential
D Mobile Home
New Installation
O OId Installation
1, Size Service: 2-00
2. Conductor size: -Z/I
3.a. Meter Main:
b. Meter Can Only:
A