HomeMy WebLinkAboutBuilding Permit ApplicationALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/01/2018 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
[±ER-MITAPPLICATION FOR: Electrical
LPROPOSED IMPROVEMENT LOCATION:
Address.'3110 Puneside Drive Port St Lucie, FL
Legal Description: TARPON FLATS SUBDIVISION (PB 69-27) LOT 31
PropertyTaxlD#: 1423-566-0034-0001 Lot No 31
Site Plan Name: Lot 4 Block No.
Project Name: Tarpon Flats
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Provide an install 150amp temporary power pole for construction use
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CONSTRUCTION INFORMATION 1
ACIditionai work to be performed under—Tfiis permit–check all 1 ep–Pi' ______J
HVAC Gas Tank Gas Piping ILi Shutters ❑ Windows/Doors
ZElectric Plumbing ❑Sprinklers F]Generator 0 Roof Roof pitch
Total Sq. Ft of Construction:5 Ft. of First Floor:
Cost of Construction: $ 500 Utilities:�Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: 1
Name _
Name: Mark Lurt z.
Addr ss
enFT
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Company: Comet Electric & Equipment, LLC
City: 1 State: '
Address: 197 65th Terrace North
Zip Code: 3801'1 Fax:
City: West Palm Beach State: FL
Phone No. (561) 799-5900
Zip Code: 33413 Fax: 561-686-1581
E -Mail:
Phone No. 561-689-4400
Fill in fee simple Title Holder on next page ( if different
E -Mail: admin@cometelectricinc.com
from the Owner listed above)
State or County License: EC13002784
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ION LIEN LAW 9NF0RMATIO
DESIGNERfENGlNEER: _Not Apphcabie MORTGAGECOMPANYi Not Applicable
Ndrne.. Name:rm--,
Address:FL Address; �++?�wu rweyKrss
City: State:_ City:
ZIP: Phone Zip: State;
Phone:
FEE SIMPLE TITLE HOLDER. ^Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City.—CRY:
ZIP: Phone;
Zip: phone:
OWNER/ CONTRACTOR AFFIDVIT,i 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.
5 L de Count makes no repre5aer�tatlon that is grant ng a pp�armd will authorize the permit holder to build the subJeit strvefuce
which Min con hct with any appltca le Homine Owners SOL ation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home.thvners 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. LucieCountyAmendments.
The foliowingbuilding 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)obsite
before the first inspection. If you Intend to obtain financing, consult. with tender ran attorney before
commencin Work or,reC, r�din our Notice of Commencement.
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Signature fowner/Lessee/Conti or as Agent for Owner
SignatureofContracto LieenseHolder.
STATE OFFLORIDAA 4 _ /
COUNTY OF 777777 (%f
STATE OF FLdRIDA,
COUNTY OF 1 e��Y+el �r.,
The forgoing instru s acknowledgeed$� efore me
this a Aay of 2Gl�by
The f going Inst an was acknowledged before me
10f ;ze by
this ZOtt
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l�
Name. ofpersonmaking statement
Personally KnoW'YJ"' OR Produced Identification_
Type of Identifi
Produced
Name of person making statement
Personally. Known OR Produced Identification
Type of ider iratiah
:Produced
%
( 'gn� ure of Note r rcyf y
Commission No. �'°" Hotary Puhllc State d Florida
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E)yJ1.6 07mr2021
nature f Nota R�o Florida)
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.PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE „ E
REVIEW REVIEW
REVIEWS- FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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