HomeMy WebLinkAboutScan_0020ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone. (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 2979 Fiddlewood
Legal Description: Savanna Club -Flat Two-Blk 18 Lot 33
Property Tax ]D#: 8425-702-01900-000-7
Site Plan Name: Davey, Mark D & Dena
Project Name: Davey, Mark D & Dena
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Install new meter bank socket pedestal with 150 amp main breaker.
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Lot No. 33
Block No. 18
CONSTRUCTION INFORMATION:
Additional wor to j r orme un er InGas
permit— c ec a appy:
❑HVAC LJ Gas Tank Piping Shutters Windows/Doors
21 Electric ❑ Plumbing LJ Sprinklers ❑ Generator Roof O Roof pitch
Total Sq. Ft of Construction:.
Cost of Construction: $ 2495.00
Sq. Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mark D & Dena Davey
Name: Daryl J. Underwood
Address: 9956 River Rd.
Company: FTL Electrical Services, Inc.
City: Clay State: Ml
Zip Code: 48001 Fax:
Phone No. 877-2828
Address: 1940 SW Biltmore St.
City: Pork Saint Lucie State: FL
Zip Code: 34984 Fax: 340-7677
Phone No. 772-340-2546
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: ftlelectrical1940@gmail.com
State or County License: El 3002850
i� value U1 LutlNlfULLIUH is ?G,UU Or MOrep a KCCUKUtU NOtiCe of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name; Mark D & Dena Davey Na me: Daryl J. Underwcod
Address: 2979 Fiddlewcod Address: 9956 River Rd.
City: Clay State: City: Port Saint Lucie State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: 194o sw Nitmore st. 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, r an attorney before
commencing work or rd ordin our Notice of Commencement.
Si n ure of 0 er/ ee/Contractor as Agent for Owner Signot r of Co rac r/, i ense Holder
STATE OF FLORI STATE OF FL In
COUNTY OF ST. LUCIE COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
this stn day of
February 20_ by
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
S�r4�r r yew SYLVIALOM1ARppa(
f }41MI fF9_R0
(Signature of Nota^ , 22,.2020
` lir f `"``�lY�"n�c iJl derwriers
Commission No. e �`
REVIEWS FROM VI
COUNTER I REV! W SUPERVISOR
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
The forgoing instrument was acknowledged before me
this `stn day of February 20_ by
1 ,'a LCPtI6,14o2Li
' Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
(S" ature of Notary Public- State of Florida
YA ,
Commission No. = ` __ h4YCCMMIS M;T F 362x94
g- EXPIRES: February 22, 2020
Bonded Thru Notary PubhG Underwriters
PLANS VEGETATION �SEA TURTLE MANGROVE
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