HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date;41 1� ) Permit Number.
RECEIVED
Building Permit Application
Planning and Development Services APR 17 2 p a 8
Building and Code Regulation Division Pe rm i tti n q rt m D e
2300 Virginia Avenue,Fort Pierce FL 34982 p a e n
Phone:(772)462-ISS3 Fax:(772)462-1578 Commercial R SiftAie COMItY, FL
PERMIT APPLICATION FOR: Electrical Y
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Address: IY
Legal Description: Spanish Lakes
Property Tax ID#: � "" } G V - 0 Lot No.
Site Pian Name: Block No.
Project Name: i K C
Setbacks Front Back: Right Side: Left Side:
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Bring Kitchen Countertop outlets to code (placement and{GFCI)
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AdditionalworKtobenerformed under ts permit—check—all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
R1 Electric 0 Plumbing O Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: i� y Scl.Ft,of First Floor:
Cost of Construction:$ J Q t Utilities: Sewer Septic Building Height:
S -'.'y"s (a11' ..�.^.� tv " �t'y� x+'
Name Elaine Wilkinson Name: Michael Flaxman
Address-14185 Isla Flores Ave. Company: Energized Eiectrlc LLC
City: Fort Pierce State:FI Address 4252 Bandy Blvd:
Zip Code: 34851 Fax: - City: Fort Pierce state:.Ft
Phone No.302-462-7051 Zip Code:34981 Fax:
E-Mail: Phone No.772-4664095
Fill in fee simple Title Holder on next page(if different E.Mail:jennifer.energized r�r gmali.com
from the owner listed above) State or County License: EC13006279 �
If value of construction is$2500 or more,a RECORDED Notice of commencement Is required.
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ORTGAGE COMPANY: Not Applicable
ame:ddress:
City:. State: City: State,
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER': _Not Applicable BONDING COIViPANY: _Not Applicable
Name:. Name:
Address: Address:
City: city:
Zip`: Phone: Zip: Phone:
OWNER/.CONTRACTOR,AEFIDVIT:Application is.hereby made o dbtain a.perrriit to do the work and installation as indicated.
I certifythat.no work or,Installation,has:comrimenced prior to the.issuance-of a permit.
St.Lucie County..makes'no representation that is grantinga permlt will authorize the permit holder ao;build the subject structure
which:is in conflict with any applicable'Home Owners Association rules,bylaws orand covenants that may restrict or prohibit such
structure.Please corisultwith your Home.Owners-Association and review.youe deed for any restrictions which mayapply.
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, heflorida Building Codes and St.Lucie County Amendments
The.following building permit applicafions:are;exempt-from undergoing a.full concurrency review:room additions,
accessory'structures,;-swimming pools,fences,.walfs,aigns,screen rooms and accessory'uses to another non,-residential use
WARNING TO OWNER Your failure to Record a Notice of Cominencement;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 financi'ng,.consuIt with lender or an attorney before
cornmencing work or recording our Notice of Commencement.
Signature w er/,Les a/C6ntractor:as Agent for Owner signature.of; nt ctor/Li' nse Holder
STATE OF FLORID STATE OF.,FLORID ,n
COUNTY OF L 1. COUNTY OF
Theo i stru _e t- cnowledg %fore me The f I rum',t w s a, nowledg efore me
this f 20 by this Mytif� 20by
Name of on making statement Na of rson making statement
Personally Know r OR:Produced Identification Personally Know OR Produced ldentiflcation
Type:of Id ti Type of Identif ti ^ 'I
roduced LajL Produced t (,L. '�-�' 1.,oui 1
Is nature of Notary Publ' Eft{ [4e1 F orida:)• sig atu of Notary Public-: tate of.Flora
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m'issionNo ,�`,.e�, ��wniai;�Q• Q;Qaiy: Comma on IA�`t ���� (Seal)
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REVIEWS $R � U i-IONING Z' SUPERVISOR PLANS �' G C Y EA3URTLE MANGROVE
C8�- 1,( iN REVIEW REVIEW��u,; VI ' IC R?11EW REVIEW-
RECEIVED: OR ``� 66�•' `,,����
DATE iii j1�ri i t r nttttt�
COMPLETED
Rev.-8/2/17