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Building Permit Application
Dec. 6' 2018 3: 12PM No. 1812 P. 1/3 ALL APPLICABLE INFO MUST BE COMPLETED POR APPLICATION TO BE ACCEPTED Date; la, Permit Number: �� a, RECEIVED Building Permit Application Planning and Development Services DEC 0 6 ?018 Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie Gownty, permitting Phone:(772)462-1553 Fax:(772)462-1578 Commercial X Re-S entiai PERMIT APPLICATION FOR: Electrical IRA _4>.• , 1 :p ,a �';.,ro...•Z,;- .ns. id. :': •t� i S;�\:tiFeta sC 10�• tI P fi i. ,�^y,,4;(57;r" ,Slts;.r.>•i,.{ u' ..i S^,}. * ,h pan.. rii?sl .,p:R:©1M ; • ? „��. •'• .i. �, ,�r:r d.w?�'>�K.tt#,•:;R.•:,}�•;.. ..1'.:�y,1.471Ci•Ltl7 t� S kI7 Address: 5443 Cobblestone Dr,Port St.Lurie _ )_ r T1_¢ Legal Description: i I• � U Property Tax Ifs M. 2� 32(P- Qb 0t)-OD 3 A, f''La-• Site Plan Name: Creekside I �Qjtj1 Project Name: Creekside West Fountain Repair 1 Setbacks Front Back: Right Side: M! E'§Cgar• fmd�•> :".„ 'Ig9YYR.S A(a =',•ar : °i; i A IE �� I.4!4S�;i.�,7.�1 ��I��1y�1y R• 'N �Q,:t,}�j��/S��i `• �7};�$ . t•r-r,' 'kA,;`• 4�}�.T'�EA.�t3I, , �.V%pi u y '�a!r !'.f5h. R%'fi . •u�ti *:1"' El Replace wiring and meter can for West fountain lake at Creekside subdivision_ Replace conductors and meter can only as damaged conduit has already been replaced. Install 100A Sq D ringless meter socket 150 ft from FPL hand hole. Ir9� E: :�� Fs'a� •I:�F.' , "-•i::!aii:F�k i i Ey" ''' 'f �7+.. iw •�� • -Tt.'SSt'ia�M'STr✓`7•!,'�:195C 1 $��� AciclitionaiwDrYfo—Fe—rn)ertormedunder this permit—check a apply: HVAC Gas Tank Gas Piping _Shutters Windows/Doors I[JElectric Ll Plumbing Sprinklers I Generator I]Roof Roof pitch Total Sq, Ft of Construction: S .Ft.of First Floor: Cost of Construction:$ 750.00 Utilities: Sewer[]Septic Building Height: n I ' .. ; ri `�y: r 4 ,° 1; i"£' t•. i NarneDR Horton Name. Christina Slate Addres5:1430 Culver or NE Company: Peay's Electric li, Inc. City: Palm Bay State:FL Address: 7790 Industrial Rd Zip Code: 32907 Fax:866-893-4891 City: west Melbourne _ State:FL Phone No.321-733-7972 Zip Code: 32904 Fax: 321-7255273 E-Mail:sipedretti@drhorton.com Phone No. 321-768-0814 Fill In fee simple Title Holder on next page(if different E-Mail: christina®brevardelectriclans.com from the owner listed above) State or County License: ER13014555 if value of construction is$2500 or more,a RECORDED Notice of Commencement Is required. f Dec. 6. 2018 3: 12PM No. 1812 P. 2/3 bESIGNER ENGINEER; T Not Applicable MORTGAGE COMPANY: Not Applicable e• Name: Nam �-. i Addre55: _ Address: City: State; City: —State: ZIP: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: lip Phone' _ Zip: Phone: -- 1 r OWNER/CONTRACTOR AFFIOVIT:Application Is hereby made to obtain a permit to do the work and installation as indicated, I certify that no woric or installation has commenced prior to the issuance of permit, St.Lucie County makes no representation that Is granting a ppermit viii authhorize 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 I 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 appllcatioris 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-resldentlal use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice far improvements to your roperty,A Notice of Commencement must be recorded and posted on the jobsite before the first Ins n. If you intend to obtain financing,consult with lender or an attorney before Cornrnencill w x o ecor ' our Notice of Commencement. I Slgnature of W07[essee/efflvrasAgent for Owner 5lgnatura Lof Contra or License Holder STATE OF FLORIDA STATE OF FLORIDA I COUNTY 0 f COUNTY OF_(�L,\)C e(A The forgoing instrument Vias acknowledged before me The forgoing instrument was acknowledged before me this day of '20 by this_( „day of lbt'C e vIA LQ,- 20 k by Name of personnakIrIgstatemenk Name of person r ng statement Personally Known�•� OR Produced identification Personally Known OR Produced Identification Type of Identlflcatlon Type of Identification Produced_ Produced -A .00�_r. �-k_ �_r (Signature of Nto of Florida) (Sianat re of Notary Publi State of Florida I Commission Noon (Seal) Commission No. ��a�La(�ri �- (Seal) REVIEWS FRONT" ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW BATE RECEIVED DAT£ COMPLETED Rev.8/2/17 SONJALOUISEPEDRE:TTI `•, Notaryp&ic-StateofFlorida t: ANGELA L.KRATz "I •": My COM I My Comm. res op ,�,.• EXPIRES Jime 031 2g49 hR.ln���� ilerdedlhrwsr'Reuana{haltryAwL .4o7•ip.9.C•S3 rrur�a�Noin•9eNka.com