HomeMy WebLinkAboutBuilding Permit Application From: 10/13/2017 10:19 #017 P_002/003
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ /1914 Y 7 Permit Number:
® RECEIVED
ln. Building permit Application
Planning and Development Services OCT 16 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential Yes
PERMIT APPLICATION FOR: To Select from dropbox,click arrow at the end of fine
I PROP4E0 Bill' ®VIFfiUT LflCl7'ilQ1
Address: 101 Ridge Place Fort Pierce Fl.34982
Legal Description: Single family house -
Property Tax ID#: � ii r I � _
Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks . Front Back: Right Side: Left Side:
` DETAILED D SCRIP3'lON p€,1lVORK `� � -
Replace damaged meter with new can. Other was damaged and customer is musing FPL undergroundw
service
( CONSTRU.CTION
MMATIO
ON
- }
–A33iiona wor to e e orm�e3 un er this per—mit-check all tba apply:
E1HVAC Gas Tank []Gas Piping Li Shutters windows/Doors OGenerator
Electric 0 Plumbing Sprinklers Roof Roof pitch
Total Sq.Ft of Construction: "� S .Ft.of First Floor:
Cost of Construction:$J 0 Utilities:[]Sewer 0 septic Building Height:
QVl/N E R/LESS •�': - - - - - ------- -
..:...:... .. CONTRACTOR
Name Steven Trempe ; Name: ThoniasJ.Paid
Address:10f Ridge Place ? Company: Bradford Electric Inc.
City: Fort Pierce State:FL 1251 Jupiter Address: P Park Drive Suite 7– –
Zi Code: 34982
Zip Fax: City: Jupiter State:F?
Phone No.772-521-2348 I Zip Code: 33458 Fax: 561-747.0677
E-Mail: Phone No.
561-747-0722
Fill in fee simple Title Holder on next page(if different I E-Mail: tip@bradfordelectric.net i
from the Owner listed above) I State or County License: EC 13003147
i---- ruction
It value of const
_is$2500 or mote,a RECORDED Notice of Commencement Is required. -� – ---
0m 10/13/2017 10.20 #0117 P-003/003
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
I-Name:seveaT—i;- Name:ThomasJ.Pam
Address:let sidg-Pi-re ForMwooA-4Ya2 Address: 1o1 nida-m—
City- Forip me State: City: ruvlmi State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: v^ - Not Applicable-- BONDING COMPANY: .,Not Applicable
Name: Name:—
Add ress:12si Jupft�P9*OMS Sufte 7
ame•Address:12siJupn�P9*OMSsuhe7 l Address:
i City: City:
Zip: Phone: i Zip: Phone:
OWNER/CONTRACTOR AFFiDVIT:Application Is hereby made to obtain a permit to do the work and installation as indicated.
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 the permit holder to build the subjectstructure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or pAllbit 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,wails,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 cin the jobsite
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
cammen>ring work or recording.ypurNotice of,Commencement.
------- -- -- - - .... -
Signature of Owner/Less /Contractor as Agent for Owner Signature of Contractor/Licen$e bolder
STATE OF FLORID STATE OF FLOW
COUNTY OF " qgX (A �✓ I COUNTY OF
I The fo oIng instrument was acknowledg efore me The forgoing instr-ume teras acknowledged before me j
this day of-_ �" 20 K l by this 1,� ay of 26_Lby
i
Nameof pers n making statement i Name of per$ n making statement
Personally Known OR Produced Identification I Personally Known `` OR Produced Identification
i Type of ldentificatiofi Type of Identification
Produced ___ l Produced,_,__--_-
LA4Vr
&Signa re of Not c-S a ee o u�ain�c�t a Florida i {Signa
lti Thea O Pu'�tt�i LL ' No1a1y Public Std Florida
1 Commission No.' commiallt FF 10215-1 Com*s" ' ���yq�DPul" i (S I)
1i ,. rliy GctriAsteeion FF 102157
p Expires 0311612018 ( p f Expire&OW1612016
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i REVIEWS ! FRONT i ZONING SUPERVISOR i PLANS VEGETATiON SEA TURTLE i MANGROVE
COUNTER I REVIEW I REVIEW REVIEW I REVIEW -- —REVIEW REVIEW
DATE -_----- ---1 --•--k--w._____---_.____. i i'
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RECEIVED _—— ---- -----�-- -__ - - -------- - -
DATE" I -' _-_------__�_.-.._�_...�..___ __._.:...____
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i COMPLETED � w � .-----�---w--- 1.---------- ---�--------...___�__ _.------______.._.---.:
Rev.8/2/17