HomeMy WebLinkAboutELECTRIC - RESIDENTIAL ALLAPPLICABLE INFO MUST BEOOM R=FORAPPLJCA11ON TO BEAOC97M
Date: ��`a'y� �� Permit Number: 016- 43 SI S
RECEIVED
Building Permit Applicatio OCT 24 2018
Planning and Development cervices
Building and Code R$gulation Division ST. Lucie County, Permitting
2300 Mrginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commerdal Fbddential
PERM ITAPPUCA ON FSR To Select from dropbox click arrow at the end of line
PROPOEEDIM ---RO I�1T 0QCAl10N
.t
Address: 2530 I J7 We For+ I�( 3�1 �
Legal Description: F5 3 4 C oto a : Pipm NE CD
F+ � J 1Z 0-E NE IN Lln ( ) 95 4
Property Tax I D#: ,3 qQ,5- 91(4- 0001 - 0000 -0 Lot No.
Ste Plan Name:f ff 1 IBlock No.
Project Name: e—S d x yl u
Setbacks Front Back: Rght Sde: Left Sde:
- DEf;AILS DEI'P110N OF'jWORK 4 ' ' �� Y r ;
J..nstcc;� 3 �e
C-0 e+c CIe Sin +Y)e �XCh q(--eC( , QS e-e( C++a ch eck
OONSTRIJCIIC►N INFOF�1ll%A110N r r
- ��a i,a ,,.
i iona wor o e n e ormed under is permi - e a appy:
❑HVAC Gas Tank ❑Gas Piping In Stutters ❑.Windows/Doors
ecxric El Plumbing ❑,Sorinklers ❑ Generator ❑ Fbof Roof pitch
/Tottal Sq. Ft of Construction: . Ft. of First Floor:
Cost of Construction: $ ���p� Utilities Sewer❑Se tic Building Height:
w
.. _
Name Name: John P WehW
Address: 2,530 Q Iin1n i) D( Company: S , e
CJty: F4-,-eieiu Nate:a Address: 9241 :SU) HJAY) ffleocUY)Sq
Z Code:349%l Fax: Cty: tairn1 ( iN aate:-El-
Phone No. Zp Code:34C( 0 Fax: 7 72-2)Q 3ZyZ
E-Mail: Phone No. -71 2'2 -333q
Fill in fee simple Title Holder on next page(if different E-Mail: -e)ecft (cl a ,CD(YJ
from the Owner listed above) gate o unty License: 0
If value of construction is$2500 or more, a RECORD®Notice of Commencement is required.
sJPPLEm BVTAL QONSTRUC110N U,Bq LAW i NF0 11/I AT10N
,
DESGNB:/ENGINEER Not Applicable MORTGAGECOM PANY Not Applicable
Name: Name:
Address: Address:
City: Nate: City: State:
Zip: Phone Zip: Phone:
FEE S M PLETITLE HOLDER Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zp: Phone: Zp: Phone:
OWNER OONTRACTORAFF!MAT: 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.Luce County makes no representation that is granting apermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home OwnersAssodation 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. Lude 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
WARNINGTO OWNER Your failure to Record a Notice of Commencement may result in your paying twice for
improvementsto 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
commendnq work or recordlnour Notice of Commencement.
i'lla—
Sgnatufe 6f odi-rerl Le Contractor as Agent for Owner 3griatfire of OA ractor/License Holder
SFATE F FL , STATEOFFL� C00UNTYOFJ3 CDNTYFYkh n
The for of g instr ent was acknowledged before me The for o'ng instrument was acknowledged before me
thisITU of 20JK by this3ydtay of QCtWeX 20ff by
Jahn JU)4?_J0K J(-)hn P (' tenle .
Name of per n making statement Name of person making statement
Personally Known ORProduced Identification Personally KnownNJORProduced Identification
Type of Identificatio Type of Identificati
oduord Produced
l
pma a, 'Z Ant L6?m /,t-
(Sgn ure of Not Pub Sata orida) Sgnat of NotaryR lie State o(Fl da)
fission No. (Seal) Com fission No. (�Fl►R.BRYAN
S MYii ION#00241969
EXPIRES:Ocb*19,2022
REVIEWS FRONT ZONING aJPB:USOR PLANS VEGETAMON SEATURTLE MANGROVE
ODUNTER REVIEW REVIEW REVIEW REVIEW REM BN REVIEW
DATE
RECHVED
DATE
DOM PL.ErED
Rev. 8/2/17