HomeMy WebLinkAbout2505 43 street permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: OCTOBER 26,2017 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34382
Phone: (772) 462-1553 Fax: (772)462-1578 Commercial Residential Xx
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMEI`�ST It�CATIt�N.
Address: 2505 N 43 Street Ft Pierce
Legal Description: Harmony Heights No 4 Bilk 18 NO 1/2 of Int 5 and all int 6
Property Tax ID #: 1431-801-0214-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Black No.
NSTRVCTION IN`FORIVIATIN:
Itlona war to e e or un er t 15 permlt — cI I ec a appy:
HVAC Gas Tank []Gas Piping _Shutters Windows Doors
LJ Electric L_i Plumbing Sprinklers E Generator Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 500.00
SFt, of First Floor:
Utilities: Sewer osePtic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: FRANK FITZPATRICK
Company: ALFRED BRESSAW ELECTRICAL CONTRACTORS INC
Address: 883 NE DIXIE= HWY # 7
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax: 7723348776
Phone No. 7723344014
E -Mail: ABRESSAW@HOTMAIL.COM
State or County License: EC0000915
If value of construction is $2510 or more, a RECORDED Notice of Commencement is required.
SU'PI EIt ENTAL CDI STRUCTION" LIEN LAWN
DESIGNER/ENGINEER: Not Applicable
Name: A TO Z PROPERTIES
AU dress:25(35 N 43 Street Ft Pierce
'MORTGAGE COMPANY: Not Applicable
Name . FRANK FITZPATRICK
Address: 4529 N SW BIMINI N CIR
City: PALM CITYState.
Zip: Phone
City: JENSEN BEACH State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 883 NE DIXIE HWY # 7
Address:
City:
City:
Zip: Phone:
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 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 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 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
commencing work or recording your Notice of Commencement.
c
Signature of Own eif Lessee/Contractor as Agent for Owner
Signature of ontrac r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF -mow
COUNTY OF-„
The forgoing instrument was acknowledge before me
The forgoing instrument was acknowledged�efore me
this 26 day of OCTOBER 20 by
this zs day of ocTOBSR �0_ by
FRANK F$T2PATRICK AS AGENT
FRANK F(TZPA-f RICK AS CONTRACTOR
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Tyne of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev_ 8/2/17