HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y--� I
Date:_� Permit Number: \11 1 I I -
•
Building Permit Application NOV 2 7 2017
Planning and Development Services PCRNIITTINIG
Building and Code Regulation Division St. Lucie county, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Electrical — �,v� ; .,n i rMl{- -7 I0 0632-
PROPOSED IMPROVEMENT LOCATION:
Address: 3229 Oleander Avenue
Legal Description: See Attached
Property Tax ID#: 2428-502-0006-010-6 Lot No.
Site Plan Name: Block No.
Project Name: City Electric Supply
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Add a circuit for exterior sign.
CONSTRUCTION INFORMATION:
Additional work toe er orme under t is permit—c ec a apply:
11
HVAC F]Gas Tank ❑Gas Piping _Shutters Windows/Doors
ZElectric 1:1 Plumbing Sprinklers Ll Generator F] Roof NSA Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 350.00 utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name City Electric Supply Name: Joseph E. Herndon, Sr.
Address:3229 Oleander Avenue Company: Joe's Electric of St Lucie Cnty., Inc.
City. Fort Pierce State:FL Address: 1206 Bell Avenue
Zip Code: 34982 Fax: City: Fort Pierce State: FL
Phone No.772 293-0350 Zip Code: 34987 Fax: N/A
E-Mail:FtPierce0230@cityelectricsupply.com Phone No. 772 465-2363
Fill in fee simple Title Holder on next page (if different E-Mail: joeselecstlucie@aol.com
from the Owner listed above) State or County License: EC#13007203 z45Eo;
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:City Electric Supply Name:Joseph E.Hemdon,Sr.
Address:3229 Oleander Avenue Address: 3229 Oleander Avenue
City: Fort Pierce State: City: Fort Pierce State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:1206 Bell Avenue 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 thepermit 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
commencin _yet rk or recording our Notice of Commencement.
Signa re.of caner/Lessee/Contractor as Agent for Owner Sign re of ontractor/License Holder
ATE OF FLORIDA 1 STATE OF FLORIDA
COUNTY OF d . I„�IC� COUNTY OF Q
The for ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi day of 1 kn\1, 204 by this 27 —day
-of Novernber ,20ZL by
0ex-NI no�J I SeD)-) 6, }`ruder ,-•
Narbe of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known J�i —OR Produced Identification
Type of Identification,' Type of identification
ProducedProduced
4 Aid
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
"'- S. NIELSEN �_ �pAyJ
Commission No. :••"°.,c; )y ommis RAflrYf PM
Commission # FF 115637 �� :� [�
My Commission Expires • MY COMMISSIONMFFl1 /-.��d
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.a�Pa June 12, 2018 EXPIRES Sopont)w 07,2019
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17