Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED • /��/YO Date: 8/10/2018 Permit Number: ,U I 0- l� COUNT,36 ,' =, ai"c.°.toy om,a,°,1,«Ok«-- 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 XXX PERMIT APPLICATION FOR: Electrical . ° °,OP©SED IMPROVE N :LOCATM° - Address: 1493 South Brocksmith Road Fort Pierce, FL 34945 Legal Description: 17 35 39 W 288. 12 FT of E 939.42FT of.S 1/2 of N 1/2 of SE 1/4 of NW 1/4 (2.18 AC) Property Tax ID#: 2317-241-0005-000/5 Lot No. Site Plan Name: Block No. Project Name: New Electric Meter Setbacks Front Back: Right Side: Left Side: - Install a new meter& can on the home. { CO STR 'TION O -o ° ATI® .°, ° ` _'• . . . . :;. - Additional work to be performed under this permit—check all;hal apply: 1 HVAC _Gas Tank Gas Piping _Shutters Q Windows/Doors - 111 Electric 0 Plumbing Sprinklers InI Generator n Roof Roo f pitch Total Sq. Ft of Construction: Sc. Ft.of First Floor: P Cost:of Construction:$ gay Utilities: _Sewer L ]Septic Building Height: 0, WiNER/LESSSE .� , .�°€®NI ° e"CTO'° '. . :. 64, '".. Na`m`e Bryan Beaty Name: Address: 1493 South Brocksmith Road Company: City: Fort Pierce State:FL Address: 1493 South Brocksmith Road Zip Code: 34945 Fax: City: State: ' Phone No.772-201-5371 .. Zip Code: Fax: E-Mail:btbeaty681@gmail.com Phone No. Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County License: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I j►Io��, �lvl�;���li/;�[t mom. I� l IU1[1?L '��I11frJ olf3f� far - --. _ DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name:Bryan Beaty Name: Address:1493 South Brocksmith Road Fort Pierce,FL 34945 Address: 1493 South Brocksmith Road City: Fort Pierce State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name:Bryan Beaty Name: Address:1493 South Brocksmith Road Address: City:Fort Pierce City: Zip: 34945 Phone:772-201-5371 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 reprere sentation that is granting a permit will authorize the permit holder to build the subject structu 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 your Notice of Commencement. f Owner Lessee/ ontractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 5-7"' L r�c j,� COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this az day of . tas-1- ,20 l8 by this day of ,20 by NaPne of person king sttatement Name of person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (:). R*34.Z (Signature of Notary Public ate of Fla) (Signature of Notary Public-State of Florida) DOROTHY A.SHAW Co �: r Commission-IP-F-225519 ( eal) Commission No. (Seal) `'' Expires June 22,2019 • pit rti Bonded T ru Troy Fain Insurance 9003857019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17