HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INT MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� Permit Num a
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AUG 18 (gom
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Building Permit Applicatio ST. Lucie County, Permitting
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: To Select from dropbox, click arrow at the end of lined
-PROPOSED IMPROVEMENT LOCATION:
Address: 381.9 St Benedicts Rd, Fort Pierce 34982
Legal Description: St James Park Blk 8 Lot 9
Property Tax ID#: 2434-501-0109-000-1 Lot No.8
Site Plan Name: Block No. 8
Project Name: Saint Benedicts
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacing 200 amp meter can with 2 ground rods and grounding bridge.
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 600.00 Utilities."InSewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Saint Benedicts, LLC Name: Robert Thompson
Address:3819 Saint Benedicts Rd Company: R THompson Electric
City: Fort Pierce State: FIL Address: 439 SE Cork Rd
Zip Code: 34982 Fax: City: Port St Lucie State:FL
Phone No.772-240-0397 Zip Code: 34984 Fax:
E-Mail:thepropertycouple11@gmail.com Phone No. 772-203-1756
Fill in fee simple Title Holder on next page(if different E-Mail: rthompsonelectric@yahoo.com
from the Owner listed above) State or County License: EC13007306
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
N a m e:Saint Benedicts,LLC Name:Robert Thompson
Ad d ress:3B19 St Benedicts Rd,Fort Pierce 349B2 Ad d ress: 3619 Saint Benedicts Rd
City: Fort Pierce State: City: Port St Lucie State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:439 SE Cork Rd 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.
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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Si nature o(Own Lessee/Contractor as Agent for Owner Signature o ontra r/License Holder
STATE OF FLOFF��I1.DDA STATE OF FLORIDA
COUNTY OF�-� k)('ip COUNTY OF
The forgoing instr ment was acknowledged before me The forgoing instr ment was acknowledg d before me
this day of 20 by this Co day of 20le by
Name of person making statement Name of per o making statement
Personally Known V) OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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REVIEWS MG' R I5 R PLANS —<`5;�A T T E MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17