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Home My WebLink AboutPalomar BUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: • P _ liirl 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 X PERMIT APPLICATION FOR: Electrical PROPOSED IMPROVEMENT LOCATION: Address: 6502 PALOMAR PKWY Unit A Legal Description: LAKEWOOD PARK-UNIT 12-A-BLK 173-A LOT 11 (MAP 13/13N)(OR 3639-2559) Property Tax ID#: 1301-615-0135-000-0 Lot No.22 Site Plan Name: Palomar Block No. 173 Project Name: 6502 Palomar Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Re Energize CONSTRUCTION INFORMATION: Additional work to e e orme under this permit—check a apply: 0HVAC E]Gas Tank Gas Piping Shutters Q Windows D/ oors Electric 0 Plumbing Sprinklers DGenerator Roof Roof pitch Total Sq. Ft of Construction: 2400 S . Ft.of First Floor: 2400 Cost of Construction:$ 250 Utilities: Sewer Septic Building Height: OW N ERAESSEE: CONTRACTOR: Name CSC Investments Property LLC JR) Name: Donald B Green Address:1001 SE Monterey RD Company: Don Green Electric LLC City: Stuart State:FL Address: 1305 W 1st Street Zip Code: 34996 Fax: City: Fort Pierce State:FL Phone No. Zip Code: 34982 Fax: E-Mail: Phone No. 772-418-5739 Fill in fee simple Title Holder on next page(if different E-Mail: dongreenelectric@gmail.com from the Owner listed above) State or County License: EC13007447 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x—Not Applicable MORTGAGE COMPANY: x,Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORID STATE OF FLORIDA } COUNTY OF �� f� II COUNTY OF ' ' 1Ck r4- 1 Y__1 The f g instrume t w s acknowledged '�efore me The rgoing instrum t wa acknowledged Before me this i day of 20 i. by thi day of ,20 by (Na e f pe ackn wledging (Nam o erso cknowle ing) -A k9 0,10 TA*_Q_(0— 4 (Signs re of Notary Public-State of orida) (Signat of N tary Public-State of Florida) Personally Know bR Produced Identification Personally.Km n roduced Identification Type of Identification Produced Type of Identification Produced Commission No. Commission No. Fir A Sei0yCHRISTINE COPELAND CRY P �4RISi1NE COPELAND ••.. My COMMISSION#FF948D42 MY COMMISSION#FF948D42 EXPIRES:JAN 05 20 20 Fr Bonded through 1st State Insurance -71 Bonded through 1st State Insurance g Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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 X PERMIT APPLICATION FOR: Electrical PROPOSED IMPROVEMENT LOCATION: Address: 6502 PALOMAR PKWY Unit B Legal Description: LAKEWOOD PARK-UNIT 12-A-BLK 173-A LOT 11 (MAP 13/13N) (OR 3639-2559) Property Tax ID#: 1301-615-0135-000-0 Lot No.22 Site Plan Name: Palomar Block No. 173 Project Name: 6502 Palomar Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Re Energize CONSTRUCTION INFORMATION: Additional work to be e orme underr t is permit—c ec a flapply: OHVAC Gas Tank ❑Gas Piping Shutters a Windows/Doors WIElectric 0 Plumbing Sprinklers Generator F] Roof Roof pitch Total Sq. Ft of Construction: 2400 S . Ft.of First Floor: 2400 Cost of Construction:$ 250 Utilities:[ISewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name CSC Investments Property LLC JR) Name: Donald B Green Address:1001 SE Monterey RD Company: Don Green Electric LLC City: Stuart State:FL Address: 1305 W 1st Street Zip Code: 34996 Fax: City: Fort Pierce State:FL Phone No. Zip Code: 34982 Fax: E-Mail: Phone No. 772-418-5739 Fill in fee simple Title Holder on next page(if different E-Mail: dongreenelectric@gmail.com from the Owner listed above) State or County License: EC13007447 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x_Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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. s Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA i COUNTY OF COUNTY OF The f going instrunkent yvas acknowledged before me The 17day ing instrum nt was acknowledgM fore me this day of 1 20 Eby this of 20 by ( of erson cknowl ing) (Na of pers n acknowledging) (Sig iur6 of Notary Public-State of Florida) (Signs re of-Notary Public-State of Florida) Personally Known. Produced Identification Personally Knowrf-'�bR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. Commission No. (Seal) JOY CHRISTINE COPEL os°tY:Po® JOY CHRISTINE COPELAND ®42 EXPIRES:JAN 05,2020 ; Revised 07/15/2014 '�o�n° ' EXPIRES:JAN tat Polo �.�rr�r,.w Bonded through 1st State Insurance '�r>��Bonded through 1st State Insurance REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS