HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: JULY 27, 2018 Permit Number:
-J I J. _
Building Permit Application
Planning and Development5ervices
Building and Code Regulotion 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: CE C
Legal Description: 8 35 40 PART OF SE 114 OF NW 1/4 MPDAF: FROM INT W Ll ANGLE RD AND NLI OF
Property Tax ID#:2408-243-0003-nn0- _ Lot No. 40
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPAIR SIX GANG METER RACK
CONSTRUCTION INFORMATION:
Acid itiona workto e e orme under t is permit—check a apply:
0HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
®Electric 0 Plumbing Sprinklers 01 Generator ® Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$_ 950.00 Utilities: Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name CIO RIVERSTONE COMMUNITIES Name: 1FFFRFY R. WAITF
Address: 6400 TELEGRAPH RD STE 2000 Company: INFINITY ELECTRIC CO. INC.
City: BLOQMFIELD TQ1NNSHIP State:J0 Address:
Zip Code:_48301. Fax: City: HAVERHILL State:_I
Phone No. Zip Code: 33415 Fax: 561-588-3805
E-Mail: Phone No.-F1-682 G299
Fill in fee simple Title Holder on next page(if different E-Mail: INFINITYELECTRIC BELLSOUTH.NET
from the Owner listed above) State or County License: FC13005458
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: 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 work and installation as indicated.
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 1 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 Comme ce_pzeQt.
Sign rir -w— s> Lessee/ ontractor as Agent ner Si + re o Coutr ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF I'Z_ C �`
The forgoing instrument was acknowledged before me The f rgoing instrurr entpwas acknowledgey before me
this day of 20_ by this day of ( Jl.i ) , ,20. by
Name of person making statement Name of person making statement
Personally Known OR Produced identification Personally Known OR Produced Identification V
Type of Identification Type of Ide tification
Produced Produced "1 LP
(Signature of Notary Public-State of Florida) (Signature of Notary Pub
41i'A'
�� » ,; CHRISTNE M,RWEIRA
Commission No. (Seal} Commission No. hey ,° ci�I`� 9843
s4,bTN&,-r Bonded Thru Maly Public Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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