HomeMy WebLinkAboutbuilding permit ALL APPLICABEE IIgFv mus i 6E COWEE i ED FOR HPPEIw i IUn i U 6E HCCEr i ED
Date: Uz/zu/4-18 Permit Number:
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Building -permit Application
Pluw rry UtAf DevEloprnerrt5erviM.
Hailainy ana coclu Heyalatiorr Uivi241711
ZJVV Viryirda Averme Fart PiLlme FL 34-148Z
PRune: (/IL)46L-Z553 cummercial Residential A
PERIVII I APPEICA I IUI9 FUK: Elecirical
PROPOSED IMPROVEMENT LOCATION:
Address: 3zU 5E uasparilla Pert taint locie Fl 34v83
legal Dezcription. RIVER PARK-UNIT 4 BLK 37 LOT 15(MAP 34/28N)(OR 3224-1730)
Property Tax ID#: 3419-530-0143-000-7 Lot No.15
Site Plan Name: Block No. 3/
Project Name: i anlaRa D MarBocR
set6acRz. Font Back: Right side: left side:
DETAILED DESCRIPTION OF WORK-
Replace broken service mast
CONSTRUCTION.INFORMATION-
itiona wor to e ertormed under t ispermit-check all that apply:
❑HVAC Gas Tank ❑Gas Piping _Shutters ❑whitlows/Door
✓❑Electric 0 Plumbing Sprinklers ❑Generator ❑Roof Root pitch
Total Sq. Ft of Construction: s Ft.of F*rot tlaor:
Cost of Construction:$ 860.00 Utilities:11 Sewer❑Septic Building Height:
OWNER/LESSEE: LONTRACTOR:
Name Tanisha D Murdock Igame: James P wdliama
Address:3zU 5E uasparilia Campany: Arlington Electric Inc.
City: Part 5alnt Lucie btate:FE Address:
Lip Code: 34983 tax: City: Martin State:FE
Phonelgo.7729244346 Zip Code: 3499/ Fax: //zzz1uu14
E-Mail: Phone No. //«3/1353
Fill in fee simple Title Holder on next page(if different E-Mail: Relly6(aarlingtonelectricinc.com
from the Owner listed above) state or t vamy license: 0127
If value of construction ia.sz5UU or more,a REWRDED Avti;a oT cummEncement I.required.
SU PLEMENTiAAL`CONNSTKLICTION LIEN LAW INFORMATION-
DESIGN ER/ENGI NEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Tanisha D Murdock Name:James P wiliams
Address:320 SE Gasparilla Port saint ludo FL 34983 Address: 320 SE Gaspadlla
City: Port SaintLude State: City: Martin 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:
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 our Notice of Commencement.
sib ture f Owner/[essee/t oniractor as Agent for Owner Sign u7__O_�_.
ontractor/Cicenbe Ruiaer
STATE OF FLORIDA \n/l SIR ORIDA 1n/
COUNTY OF lI V l �� ►J COUNTY OF `)V 1 i'Cs k 1 .)
The forgoing instrument wda acRnowleagea Dcture me Tfie tergwing in�troment waz,ar:Rnowleagea ftruFc me
this`�52 day of -(- 20� by this�odayof `�Lr3 20_L-K by
J W - L l ra —S k\r\A.1iJ ` I h 5-
Marne of person making statement Dame of person making statement
Per.,vitally Known OR Prodoced identification Perbanaily Known </uR Pr-.aacad Identification
Type of Identitication i ype of Identification
Nroaacea PrrU.cea
(Signature otar—y Public- t e (Signature o any Public-state vt Fla,iaa)
H ttuBINbON
c�mmi��i�n lao. .A'A�'Pyd= Notary rweali atat'o ct Floriaa Commisbion No. a.a•• �.,_ tic-state at r10ri08
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REVIEWS -ZCTNIIqG SUPERVISOR I, PLANS VEGETATI R VE
COUNTER REVIEW REVIEW REVIEW REVIEW REvIEvv REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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