HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1112118
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
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address 11 Lake Vista Trail #207 Port St. Lucie, FL
Legal Description: Vista St Lucie Bldg 11 Unit 207 (or 4127-971)
Property Tax ID #: 3422-500-0154-000-4
Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
=rns4-alI. nw.o 3o�vi dry U- out(e-F Gnd fit) one GFc= -Co. washer.
CONSTRUCTION INFORMATION:
I��AQUItlIlona wor to e e orT un ert is permit —c ec a appy:
jjla�l(HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
I�Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 5Ft. of First Floor:
Cost of Construction: $ 700.00 Utilities: Sewer ElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wallace Family Enterprises, LLC
Name: Joseph Genovese
Address:4628 SW Leeward St.
Company: Tradition Electric, Inc.
City: Port. St. Lucie State: FIL
Address: 651 NW Enterprise Dr. - Ste 111
Zip Code: 34953 Fax:
City: Port St. Lucie State: FL
Phone No. 772-233-3594
Zip Code: 34986 Fax:
Phone No. 772-281-2650
E-Mail: beautifulhomesbybmce@gmail.com
Fill in fee simple Title Holder on next page ( if different
E-Mail: Igenovese@tmditionelect.com
from the Owner listed above)
State or County License: EC13003314
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:
Name: Not Applicable
AddresName:s:
Address.
City:
State: _ City: State:_
ZIP Phone
Zip:Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name:
Name:
Address: as+ew em m�=D..-a.,„
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.
wihichcis inconFlict with es any representation
lHom at is ownerstAssocipermit
structure. Please t Association rules abylaws or anxcovenants prohibit such
that maydrestrictt or
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 from
exempt 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.
atu net/ as Agent for Owner
>,g aturlcense Holder
ATE OF FLORIDA
OUNTYOF S7" 4te Cr6
[The
STATE OF FLORIDA
COUNTYOF Sr. /ct C.r6
forgoing instrument was acknowledged before me
s�dayof M00004669
The for ping instrument was acknowledged before me
201Sby
thisa_dayof AJDV&WAE,Z 2024 by
JoSeP14 gGJJO VE64
_ J0.S€pH rjE.uD JFsr
Name of person making statement
Personally Known OR Produced Identification '✓
Name of person making statement
Personally Known
Type of Identification
OR Produced Identification
Type of Identification
Produced (? it C
Produced GL MWCAS LeEWSC
(Signature Notary Public- a jdEROHAN CLARENCE THOM
9411i attire Notary Public- at pr dA) CLARENCE TROMP
0
Notary Public - State of FI
Commission No. ''ISeat'pmminkin Y FF 9461
ntla _+y
4Co mi ssi n No. )7 lar Public -Stale of Flo
Itl
My M Comm. Expires Dec 27,
y P
2019 d� "�bKfmisaion x FF 94817
'°'.,?c,,.e'€ My Comm. Eapirea Oec 27,
0
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
VEGETATION SEATURTLE
MANGROVE
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.B/2/17