HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application JUL 2 5 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division fit. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial n—cSIM111.1di
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 3103 Avenue T
Legal Description: SUNRISE PARK NO 1 BLK 2 LOTS 2 AND3(0.34 AC) (OR 4105-1562)
Property Tax ID#: 2405-501-0027-000-2 Lot No.2&3
Site Plan Name: 3103 Avenue T Block No. 2
Project Name: 3103 Avenue T
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Service change like for like 400 AMP
CONSTRUCTION INFORMATION:
Additional work to be performed under t ispermit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
ZElectric 0 Plumbing Sprinklers E]Generator ED Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2400 UtilitieslnSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Calandra Riggins JR) Name:
Address:602 Wisteria AVE Apt A Company:
City: Fort Pierce State:_ Address: 1305 W 1st Street
Zip Code: 34982 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: dongreenelectrc@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.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF l
T r o+pg instru pent was acknowledg efore me The f rgging instrume t was acknowledged before me
this day of 20 by this, day of 20 [L by
(Na *esontackn wledging (Nam of person cknowledging)
tuVr
(Sig Public-State o Florida) (Signa re o otary Public-State of Flo ida)
Personally Kno>�ation
OR Produced Identification Personally Known OR Produced Identification
Type of Iden ' Produced Type of Identification Produced
Commission No. Commission No.
JOY CHRISTINE COPELANO rv�e HRISTINE C 0
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Revised 07/15/2014 °+:°�` Bonded through 1st State InsuranceCP" Bonded through 1st Slate Insurance
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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