HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: T-7'�� Permit Number: d Oa�
RECEIVED
Building Permit Application APR 10 2018
Planning and Development Services
Building and code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 S . Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-2578 Commercial Resid ntiai X
PERMIT APPLICATION FOR: Electrical
Address: C1
Legal Description: MARAVILLA FITS BLK C S25FT OF LOT 14-LESSW121 FT AND LOTS 1 AND 16-W 121 FT AND
E 79 FT OF N 112 OF LOT 17
Property Tax ID#: 2428-601-0144-000-6 Lot No.
Site Plan Name: ANGIE TOMLINSON Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side: GENT
MA
it ona wor to e e orme under this perms —c ec a appy: "
UHVAC Gas Tank Das Piping Shutters Windows
_ /Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq_Ft of Construction: SFt. of First Floor:
Cost of Construction: n
$��; Utilities: _Sewer L.�Septic Building Height:
Name—o I k"41��y6-\ n Q 00C Name:Name:
Address: 17 V v /C-"-- i 0'C , Company: ALL AMERIC AIR& ELECTRIC
City: ,A u')6 b_ State: ( Address: .l i CO -){-
Zip Code: 33760 Fax: City: pt,Q{ _State!FL
Phone No. Zip Code_ 34986 Fax: 772-878-5144 i
E-Mail: Phone No. 772-878-5143 II
Fill in fee simple Title Holder on next page(If different E-Mail: GRUF@AAAEIN"00002438
from the Owner listed above) State or County License:If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required
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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the ork 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 holde to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants t at may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restri ions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that 1 will,in all respec ,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendme ts.
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 an they 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 a d posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender o an attorney before
commencing work or recording our Notice of Commencement.
i/1( 4�'•-� r
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor icen a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFST LUCIE COUNTY OF sr LUCJE
The forgoing instrument was acknowledged before me The forgoing instrument was cknowledged before me
this �T?+ day of MARcH ,20L by this 9TH day of MARCH � 20-a by
WILL AM BUEHLER WILLIAM BUEHLER
Name of person making statement Name of person mak ng statement
Personally Known x OR Produced Identification Personally Known x 7 Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Publi Flori 1,Sinature of Notary Publ -
,o4Pp�
ENA LORENZ RUF e`4+s FEMA LORENZ RUF
Commission No. FF 957967" 3r• •� jSfal mission No. FF 967987 {Public•State of FlorNo(a 06hc-SWI of Florio
�� ssion FF 987987 11, 00mfiiyilon♦FF 957067
.. 7. Ex Ir MY COMM-Expir♦s Feb 7,202
REVIEWS FRONT ZONING SUPERVI A NS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17