HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/31/18 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: 3925 Shoreside Drive Ft. Pierce, FL 34949 -
Legal Description: TARPON FLATS SUBDIVISION (PB 69-27) LOT 4
Property Tax ID #: 1423-566-0007-000.0 Lot No.4
Site Plan Name: Block No.
Project Name: Tarpon Flats
Setbacks Front Back: Right Side: — LeftSide:
DETAILL , DES-: R;Pj NU (,F �N
Install 150amp temporary pole for construction
CONSTRUC*�.Oi I tC`; IAT;_iN:
— — ---
ABU ifiona7workt6� efformed-Fe
0HVAC 11
appy —`-- -- -- -
FI
Gas Tank
Electric Qj Plumbing
❑Gas Piping
Shutters ❑ Windows/Doors
0
Sprinklers
Generator Roof Roof pitch
Total Sq. Ft of Construction:
SQ. Ft. of First Floor:
Cost of Construction: $ 300
Utilities: 0Sewer Septic Building Height:
OWNE11JESSEE --- ---
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CONTRACTOR:
NamedA(POn r LU��T
Name: Mark Lurtz `--'
Address: T71 �(�,�; yl(�
�r+
-
7t 1J10
( Company: Comet Electric & Equipment, LLC
City:
State:
Address: 197 65th Terrace North
Zip Code: moo, Fax:
Phone
City: West Palm Beach State: FL
No. I I
Zp Code: 33413 Fax: 561-686-158T—
E-Mail:
Phone No. 561-689-4400
Fill in fee simple Title Holder on next page If different
E -Mail: admin@oometelectricinc.com
from the Owner listed above)
State or County License: EC13002784
If value of constructlon is $2500 or more, a RECORDED Notice of Commencement is reouired
Name:
Address:
City: - State:
Zip: Phone
FEE SIMPLE TITLEHOLDER: —Not
Name; Applicable
Address:
City:
Zip: phone:
-ORMAnoN
MORTGAGF rOMPANY; _ Not Applicable
Name;
Address:
City; _State:
Zips Phoney
Name;
Address:
City:
Zip: Phone;
UR AFFIDVITI Application is hereby made to obtain aperhdtto do the work and installation as Indicated,
installation has commenced prior to the Issuance of a permit.
O(. w e wvn maKas no representation that 1s grantsnngga perm(t will authhotlze the 6ermft fioldeCC to build the sub}ectsstKrutture
which s in con ictwith an applicable Home Owners Assoc ation nudes, bylpws or and covenants, at may restrict or prohibit such
structure. Please consult wyftfi your Nome OWners.Asspdatlon and reviewyour 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 CodesandSt.wcle County Amendments.
The folloWing building permit applications are eXemptfrom 'undergoing a full concurrency review: room additions,
accessorysttuctutes, swimming pools, fences, walls, signsi screen rooms and accessory Uses to another non-residential use
WARNING To OWNER: Your failure to Record a Notice of Colt mencement 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
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STATE of FLORIDA
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The oinginst ntwas acknowledgQae��beforeme
#his,d of. 206 by
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Name ol"perkon makrAli staftteht.
.personally known- OR Produced Identification
Type of Identifcatiort VT
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The forgoing Inst most was,aeknowledge before me
this
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Name of person making statement
Personally Known ><" OR produced Identification
Typeof[AntiRcation
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