HomeMy WebLinkAboutBuilding Permit Application ALL APP.,iICABV INFO MUST BE COMPLETED FOR APPLICATION TO BE°ACCEPTED
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Date: Permit Number:
Building-Permit Application DEC /5 2017
Planning and Development5ervices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FE 34982 -
Phone:(772)462-1553 Fax:(772)462-1578' COmfinercial X Residential
PERMIT APPLICATION.FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:, .
Address: 6151 Orange Ave,
Legal Description:
Property Tax ID#: 2312-412-0003-8 Lot No.
Site Plan Name: „ ; Block No.
Project Name:
Setbacks Front Back: Right Side: .Left Side:
DETAILED DESCRIPTION OF WORK: -
Replace meter can, panel,and riser with'200 amp
Rewire 2 lights, 2 switches and-1 receptacle
CONSTRUCTION INFORMATION:
itiona wor to e e orme uncle t is permit–check a appy:
HVAC Gas Tank Gas•Piping _Shutters Q Windows/Doors.
❑✓—Electric Plumbing Sprinklers D Generator Roof Roof pitch
Total Sq.Ft,of Construction: S Ft.of First Floor:
-1500 . . _.
Cost of Construction:$ Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name PQRST Inc Name: Lawrence Stubbs
Address:1211 Plaza Circle Company: S&W Electric Inc .
City: Singer Island State:FL Address: 501 West Coker Road
Zip Code:33404 Fax: City: Ft.Pierce State:FL
Phone.No.772-201-1939 Zip Code: 34945 Fax: 464-4273
E-Mail: Phone No. 464-6466
Fill in fee simple Title Holder on next page:(if different E-Mail:.stuboutelectdc'@aol.com
from the Owner listed above) State or County License: 29442
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: 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 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 fi,t inspection. If you intend to obtain financing,consul th lender or an attorney before
commenci work or recording r Notice of Commencement.
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Sigrhaf-u—re of Owner/Lessee/Contractor as Agenf€ftoq wial�r�} n re,o Contractor/License Holder �.
STATE OF FLORI z ` STATE OF FLORIDA - m
COUNTY OF COUNTY OF a m<v
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The forgoing instrument was acknowledged a ,r rifle; % The forgpg instrument was acknowledged before me
this iZG 20� b" ?
l this day of �r? 'L: _' 20/7 by .�ti
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�,� Tit S S d2 S Tri. �P S. �1:�., O Y
(Name of pe son acknowledging) w k (Name of person ac owledging)
(Signature of Noa ,Pu/b ic-State of Florida) (Signature of Notary/blic-State of Florida)
Personally Known OR Produced Identification Personally Known y OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW '
DATE
COMPLETE
INITIALS