HomeMy WebLinkAboutBuilding Permit Application!-----
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/16/2018 Permit Number: I e3it— o a ci 1
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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: 2011 51st CT, Fort Pierce, FL 34946
Legal Description: HARMONY HEIGHTS BLK I LOT 2 (0.13 AC)
Property Tax ID#: 2406-502-0156-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Renovation
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Remove and Replace Outside Electric Service Panel in same location
CONSTRUCTION INFORMATION.
Additional work to be performed under this permit-check all ht apply:
DHVAC _Gas Tank EIGas Piping I _Shutters n Windows/Doors —
111]Electric 0 Plumbing Sprinklers III Generator 1-1
LI Roof
Total Sq. Ft of Construction: 1588 al. Ft. of First Floor:
Cost of Construction:$ 2,150.00 Utilities: I Sewer Septic Building Height: 9'
OWNER/LESSEE: - -, ,,, - '''.- ' 'CONTRACTOR:
. ,
Name Georges Remy, Allen Charlip Name: Gerard Thelusca i I
Address:20244 Melville ST Company: Stony Electric
City: Orlando State:FL Address: 1311 Fairfax Circle East II
Zip Code: 32833 Fax: City: Boynton Beach State:FL iI
Phone No. Zip Code: 33436 Fax: 772-907-0420 I
E-Mail: Phone No. 772-501-0085
Fill in fee simple Title Holder on next page(if different E-Mail: jgeorge@constructionbygeorge.com
from the Owner listed above) State or County License: EC13006942
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i
SUPPLEMENTAL CONSTRUCTION LIENfrLAW INFORMATIONk ' f
pp MORTGAGE COMPANY: Not Applicable
DESIGNER/ENGINEER: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 your Notice of Commencement.
1 s
_Sinature of Owner/Lessee/Agent ent Si nature of Contrdtor
License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 15th day of November , 20 jby this 15th day of November 20 18 by
Gerard Thelusca Gerard Thelusca
(Name of person acknowledging) (Na of person acknowledging)
y \��9
(Signatu9a of otary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known X OR Produced Id-ni • -tion Personally Known X OR Produced Identification
Type of 1. . •• 000 -0 Type
Notary public State of rioddd Notary Public State of Florida
,,pg hia Hams GG 2346 1) Commissi. fy(o S ��Eal)
Commissi aV '� Sophia Harris
Expires 05/3012020 GG 238Wal)
a
er Expires 05/30/2020
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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