HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
zm:a.amzi . - RECEIVED
Building Permit Application
Planning and Development Services JAN'2 2 2019
Building and;Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982
St. Lucie County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: Electrical
PRQPOSED"IN:PROVE MENT.LOCATION:
Address: 10851 S. Ocean Drive Unit 149,Jensen Beach, FL 34957
Property Tax;ID#: 4511-810-0156-000-6 Lot No.
Site Plan Name: Block No.
.Project Name: WINDMILL VILLAGE BY-THE-SEA CONDOMINIUM NO 1 UNIT 149 AND PRO-RATA
DETAILED,DESCRIPTION OF WORK ;°.
Add electric to new center Island, Relocate Refrigerator outlet to new location
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
echa',nical —Gas Tank —Gas Piping —Shutters _Windows/Doors
Electric —Plumbing —Sprinklers —Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction$-$---y'-j 60 Utilities:r _Sewer _Septic Building Height:
,OWNER/LESSEE: . CONTRACTOR: r
Name(_-� � jA��I S Name:John Cavnar
Address!-/67S/ POO E&X47/17f ompany:Goldstar Electric, Inc.
C-ity._--- /Cr-'1- /_ GP State:J�/ Address:3141 SW Dimattia Street
Zip_Code / �� Fax: / City: Port Saint LucieState:FL
Phone-No`--.A , a S/7(J—�L' Zip Code: 34953 Fax:
-t-EcMaik-z/. �/a(12r �,4lIA-t6&1" Phone No 772-380-5913
Fill in fee simple Title Holder on next page(if different E-Mail johnc@goldstar-electric.com
from-the Owner listed above) State or County License EC13002082
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTALyCt}NSTRUCTIONFI.IEN�LAW`INEO`RIVfATION�f�`�`�� ����3� �'���"y'`�^^ � `� -
,
_ DESIGNER/ENGINEER: _Not Applicable .IVaOR�'-GAGE COMP-ANX�- _Not-Applicable -
Name: Name:
Address: Address:
City: State- City: Stat:
Zip: Phone Zip: Phone:
FEE-SIMPIFTITLE-HULDER: _Not Applicable 'f3O`NDING CONIP-ANY: Not Applicable
Name: Name:
:Address: 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.
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_follo_wl ng.bi.dlding.permit-applications_are-exempt.from.un dergoi ng_afull.concurrency.reAew:_ro=.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
improvem-entrto-yourpropwty.A NotimcrI Commi�
Enm-enutmstL-brecord
det�aYrd peste -on`thgjo-b-site-
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.
Sign o - ner/Lessee/Contractor as Agent for Owner Sign re of Contractor/License Holder
S ATE OF FLORIDA STATE OF FLORID
COUNTY OF CQUNTY-OF-
The forgoing instr ment was acknowledged before me Theforgoing ins ment was acknowledged before me
thiso'a-day of 2019 by this day o 20l Cf by
John Cavnar
Name of rson making statement. Name of person making statement.
Personally_Known OR Produced Identification " Personally.Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
S' atbre of-Notary Public 8tate of-Florida-)- (Signature of-Notary-Nblic---St te-of-Florida•)-
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR _ PLANS VEGETATION SEATURTLE MANGROVE -
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED-
DATE
COMPLETED
ev: