HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3127/2018 Permit Number:
WNW!
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 XX
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 2208 N 45 Street Ft Pierce
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
REPLACE MAIN FEEDER WIRE FROM FPL DROP TO METR CAN
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit— check all tbal appy:
HVAC 0 Gas Tank E]Gas Piping Shutters ❑ Windows/Doors
ZElectric E] Plumbing F]Sprinklers 1_ Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 495.00
S Ft. of First Floor: _
Utilities:ESewer Elseptic
Building Height:
®WNER/LESSEE:
CONTRACTOR:
NameJohn Stallings
Name: Frank Fitzpatrick
Company. Alfred Bressaw Electrical Contractors Inc
Address: PO Box 4095
City: Ft Pierce State -.FL
Zip Code: 34948 Fax:
Phone No.
Address: 883 NE Dixie Hwy # 7
City: Jensen Beach State: FL
Zip Code: 34957 Fax: 7723348776
Phone No. 7723344014
E -Mail: abressaw@hotmaii.com
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: ECO0009i5
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name: John rtawngs
Address'.22oa N as street 2 werce
Citce
y: Ft Pier
Zip; Phone_
FEE 51NIPILE -TITLE HOLDER:
Name,
Address -.!!!N+ oixieii '
City:
Ph ne•
state'. �
Not Applicable
MORTGAGE COMPANY'
N a me : Frank Fiapatrick
Address' P° sDx oats
City: Jensen tieaeh
Phone:_
zip*
BONCOMPANY'
Name:
Address:
City. Phone:
Zip:_—
Not ApPlicable
State:_
plicable
Zip: °
OWNER CONTRACTOR AFFIDVIT: Application is hereby madeto obtain
pea permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance
�y bylaws,
and covenants that may restrict or prohibit such
St. Lucie Coun 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, by restrictions which may apply,
structure. Please consult with your Home owners Association and review your deed for any
In consideration of the granting of this
equthe Floe da Building it, I do ICodes and SteleucietG uniperform the work
ty Amendments.he
in accordance with the pp plans,
The following building permit applications are exempt from undergoing a full Concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen roams and accessory uses to another non-residential use
WARNING TO OWNER: Your failure A No iceoof Com men eme t must be recorded and post d omencement may result in your n paying
�jobsite
improvements to your propce for
erty. A
I you intend to obtain financing, consult with lender or an attorney before
before the first inspection.
commencing work or recordln your Notice of Commencement
Por - 'i - _
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Mwil
The forgoing instrument was acknowledged before me
this 27 day of MARCH , 26A by
FREANK FITZPATRICK AS AGENT
Name of person making statement
Persunally Known xx OR Produced Identification
Type of identification
Produced
Notary Public State of Florida
JacqueHne A Pets cello
a My Commission FF 899682
Expires 0812212019
STATE OF FLORIDA
COUNTY OF_L—_r,
The forgoing instrument was acknowledged before me
this 27 day of MARctt _, 2a by
FRANK FiTZPATRICK AS CONTRACTOR
Name of person making statement
Personally Known xx OR Produced Identification
Type of Identification
Produced
4"", 1-, (
��ss;R'r AUg Notary Public State of Flanda
commis i? -Ii <,c' .lamijellne A PaSCafell0 4
„ c o My Commission FF 899682
OrEn F,o Expires 08/2212019
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