HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 11/26/2018 Permit Number: �$ aS 5
RECEIVED
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Building.Permit Application NOV 9 ?op8
Planning and Development Services ST. Lucie Count
Building and Code Regulation Division Y, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462.1553 Fax:(772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Electrical
PROP.QSEDIM'PROVEMENT't�OCATION:''
Address: Mile Marker 144 FL Turnpike Service Plaza Plaza
313640 FROM SE COR OF SEC RUN N89 69 01 W 749.3 FT TO POO AND TO A CURVE CONC NE,R OF 7639.44 FT,TH NLY ALO ARC 850.72 FT,TH N 1336 31
Legal Description: W4682FTMILTON LIOFSEC.TH8692859WO30FTMILTON i/4COR,TH8001401B5365FTMILTO3114COR.
TH 8 895901 E 1900 FT MIL TO POS-LESS THAT PART OF SEC BOUNDED ON THE 6 OY 8 LI OF 6EC,ON THE W OY W L1OF SE 114 AND W LI OF NE 1/4 OF SEC AND ON THEE BYTHE W RO
PJW L1 OF FLORIDA TURNPIKE($R.91}(89.60 AC)
PropertyTax ID#: Parcel ID:3431-122-0001-OOD-5 Lot No.
Site Plan Name: Block No.
Project Name: Construction Trailer Relocation
Setbacks Front Back: Right Side: Left Side:
'DETAILED DESCRIPTION,PF,.WORK:
Disconnect power from 2 existing construction trailers. Re-route existing power to new location of
replacement construction trailers.
CONSTRUCTION INFORMATION:
A00itional work o be performed uncier Is perm! -c ec' all appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
�✓ Electric Plumbing Sprinklers E Generator L-1 Roof Roof pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 3542.78 Utilities: 0 Septic Building Height:
OWNER/LESSE,E:•. ;CONTRACTOR: .;
Name Me6S USA P LT2, LUL Name: Tim D.Onnen
Address: �J 3 I R I Ud La q ODn Dr. -4 b10 Company: Meisner Electric, Inc.
City. ice►a r ll State: fL- Address: 220'NE 1st St
Zip Code: 3:31 Ra Fax: City; Delray Beach State:FL
Phone No. 325 - 210-7- $S 10 Zip Code: 33444 Fax:
# E-Mail: )a i rne,-Scirb ono 1 �- 61 rPG S . (OM Phone No. (561)278-8362
-Fill in fee simple Title Holder on next page(if different E-Mail: as@meisnerelectdc.com
from the Owner listed above) State or County License: EC0000418
if value-of construction is$2500 or more,a RECORDED Notice of Commencement is required.
1111
SUPPLEi1%IENTrALCO(VS?fjfU � IONLlENIW,,IN �ORfVI IION�, I
DESIGNER/ENGINEER: _•Not Applicable MORTGAGE COMPANY: _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: 546+C 0-F F I Uvi& w pi- Of mnfpy f iwpq
Address-m4m4stst['I-- -rUTn P M e n n E-C Address:
City: 611 12 D Sfi7-b-3.' b Lu l O "3 is 0 "' ty:
Zip: 2��to I _Phone: o —Zb -3192 dip: 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 Counter makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with aHyl applicable Home Owners Association rules,bylaws 4r and covenants that may re9trict or prohibit such
structure.Please consult w th 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 our Notice of Commencement.
Signatuured"6 ew — Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA , STATE OF FLORIDA
COUNTY OF COUNTY OF WEST PALM BEACH
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Z1 day of�1t�hr1i3e-r .20jy by this 26 day of NOVEMBER 20 78'by
J0j - .66T ' :,'a no I TIM D.ONNEN
Name of person making statement Name of person making statement
Personally Known - OR Produced Identification Personally Known x OR Produced Identification NIA
Type of identification Type of Identification
Produced Produced NIA
(Signature of Notary Publ - spf,,Florida)CLAuolaol.IVA ( ignature o otary Pubj!5- a of Florida)
=; NotaryPubllc-State of Florida
Commission No. (9b*lssion9GG92199 Commission No. GG181293 ",
Y' My Comm.Expires Apr 9,2021 r,o� AR20N MARIN
acndcdthrough National Notary Assn. Notary Pubirc-State of Florida
Commission 0 GG 18.293
"'londed throuG h National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17