HomeMy WebLinkAboutBuilding Permit ApplicationAI.tAPPLICABLE INFO MUST BE COMPLETED FOR APPTICATION TO BE ACCEPTED
Date:Perrnit Number:
Building Permit Application
Planning and Development Services
Euilding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (7721 462-!578 Commercial Residential
PERMIT APPLICATION FOR: Etectricat H
PROPOSED. I MPROVEMENT LOCATION :
Address: 2909 SHERWOOD LANE, FORT PIERCE, FL 34982
Legal Descripl;ep. PARGEL lD#2421-701-0021-0004 / SHERWOOD ACRES UNT 1 LOT 21 (0.25AC) (OR 3021-1203)
Propefi Tax lD #:
Site Plan Name:
Lot No.21
Block No"
Project Name:
Setbacks Front Back:Right Side:Left Side:
DETAILED DESCRIPTION OF WORK:
SERVICE REPATR (REPLACE METER CAN, SERVTCE WTRES AND GROUNDING SYSTEM.
Iruo.Gas Tank l-leas niping
[_]sprintters
Shutters
Generator
fl*,noo*s/Doors
Plrtectric [_l ptumuine f] no*
To tal Sq. Ft of Construction:So. Ft. of First Floor:
Utilities: l-lr.*", E**Cost of Constructionr 5 15oo'oo Building Height:
lf value of construction is $2500 or mor€, a RECORDED Notice of €ommencement is required.
CONSTXUCTION IN FORMATION :
t66;s5s.2909 SHERWOOD LANE
FORT PTERCE State:FL
phone No.772-293-1995
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Company: MR. ELECTRIC OF PORT ST. LUCIE
Address: 5994 NW BAYNARD DRIVE
ZiP Code: 34986
State or County License;ER13015179
SU PPLE M ENTAL CONSTRUCTION LI EN IAW I N FORMATJON :
DESIGNER/ENGINEER: _ Not Applicable
Namg: Rlro MEDI|,IA
City:
Zip:.
Ad d feSS : zs09 sHERwOoD IANE, FoRr PlERcE, F! 34e62
FoRrPr€RcE State:
MORTGAGE COMPANY:_ Not Applicable
fl g ry1 g ; eualro STERLTNG
AddfeSS: asotl sHERwooD LANE
city: posrsrurcc state.
Zip _Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
AddfgSS: sss{ r{w BAYMRD DRrvE
City:
Zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City
Zip: _Phone:
OWNERI 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 Countv makes no reoresentation that is srantins a oermit will authorize the permit holder to build the subiect structure
which is in conflict with anv a'oolicable Home Owiers AsSociation rules, bvlaws or and covenants that may restrict tir prohibit such
structure. Please consult with riour Home Owners Association and reviiw-your deed for any restrictions uihich may apply.
ln 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, swimrning poolg fences, wallg 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. lf you intend to obtain financing, consult with lender or an attorney before
commencins work or recordins vour Notice of Commencement.
STATE OF FLORIDA
ffI"-%Tfeforeme
STATE OF FLOR,DA
Signature of Contractor/License Holder
{Signature of Notary Public- State of Florida
Sighature of Owner/
STATE OF FLORIDA
tn
Agent for Owner
Personally Known _ OR Produced ldentification
Type of ldentificat
Produced
STATE OF FLORIDA
Name of person making
DATE
COMPLETED
Rev.8/2/t7