HomeMy WebLinkAboutBuilding Permit Application Renewal ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' �• �`��' �� Permit Number: l� F__
RECEIVED
Building Permit Application
Planning and Development Services OCT 16 2018
Building and Code Regulation Division g
ST. Lucia Co ty, Permlttin
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Electrical i
PROPOSED 111/IPROVEMENT L°'`OCATIO;NA UL
Address: 238 Bimini Dr
Legal Description: Coral Cove Beach-Section One-
Property Tax ID#: 1425-701-0045-000-7 Lot No.5
Site Plan Name: Block No. 3
Project Name: workman
Setbacks Front Back: Right Side: Left Side:
DEl'AILED DESCRIPTION OF WORK""
Add 7 Ae ns in kitchen on 3 way switch
Add 2 receptacles on kitchen island
[7,
CO"NSTRUCT,1'ON`INFORMIO'IV ''} �'a
Additionalwork to be performed under this permit—check aK . appy:
HVAC Gas Tank DGas Piping N_Shutters Windows/Doors
Electric 0 Plumbing OSprinklers 0 Generator F� Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ Utilities: Sewer Septic Building Height:
OWNER/LESSEE °{
awy bNTRACTOR ..
NameChristopher Workman Name: Michael Flaxman
Address:238 Bimini Dr Company: Energized Electric
City: Fort Pierce State: FL Address: 4252 Bandy Blvd
Zip Code: 34949 Fax: City: Fort Pierce State:FL
Phone No.772-539-1910 Zip Code: 34981 Fax: 772-318-6672
E-Mail: Phone No. 772-466-1095
Fill.in fee simple Title Holder on next page( if different E-Mail: EnergizedGenerators@gmail.com
from the Owner listed above) State or County License: EC13006279
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:Christopher Workman N a m e:Michael Flaxman
Address:238 Bimini Dr Address: 238 Bimini Dr
City: Fort Pierce State: City: Fort Pierce State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Add ress:4252 Bandy Blvd 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 wor or recording X9.ur Notice of Commencement.
Signature ofwne /Lessee/ ntractor as Agent for Owner Signature of n actor/Licen a Holder
STATE OF LORIDA STATE OF FLORID
COUNTY OF �"� COUNTY OF �Z a P ,
The forgoing instrument was acknowledged before me The or oing instr ment was acknowledg before me
this V5day of (' 20by this r5ay of 'e.�20by
fr'hn 0 1 FICA\Z- -n W — 6 a
Name of p so making statement Name of perso making statement
Personally Known OR Produced Identifi ion Personally Known OR Produced Identification
Type of Ide tification Type of en cation
/ff)KL fl.-A-' z , ,&,
Pro d Prod e
1,1
(Signature Notary Pu (Signature of No ary Publi
e/'�i ALY$S�BLACKSHEAR o`"�d'B,, ALYSSA BLACKSHEA
b J lPP ,
Commission No. ;_ _State 4� rida-Notary Public Comri o. 3r° �;Statq M�Iprida-Notary Publ c
Commission #GG 237887 ?y '_ Commission# GG 23788
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My!
y Commission Expires My Commission Expires
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Jul 12 20 ",�� July 12, 2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17