HomeMy WebLinkAboutBuilding Permit Application Jan. 15. 2019 2:50PM No.-2368 P. 2
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0‘— -tot Permit.NurriherictakciAg k
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waiestaisinitimistitsammisosi Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34.982
Phone;(772)462-1.5S3 Fax:(772)462-1578 Commercial Residential /
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PERMIT TYPE:Electrical
PROPOSED 1NPROVEMENT LOCATION
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Address: 7705 LOCKWOOD DR
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Property Tax ID t: 1301-603-0103-000-7 Lot No.
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Project Name:, ' ••••-.—
.',DECAILEODESCRIPTION OF WORK .....
Meter Upgrade arid Weathorheacl and Service Mast I toplaco
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CONSTRUCTION INFORMATION -
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Utilities: Sewer _Septic Sq. Ft.of First Floor:
Cost of Construction:$ Total Sq.Ft of Construction:
..FLOODPLAIN;DEVELOPMENTPERMI1 Ici strutines exempt from Building Cocl that are in the
floodplain
Nonresidential Farm Building Temp Bldg :./Shedused exclusively.fprz.onstrt4[09
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constructionAll other applicable state and federal pelmits shall be obtained priol to commencement of
OWNER/LESSEE•:•ei CONTRACTOR,
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Name Richard lord Name Michaei liorutz
Address:7705 LocKwooe pn company:FPL Energy Services, Inc,
City: Fart r'Llimo State:-FL Address:6001 Village
zip cnde; 34951 Fax:__ City: Want Palm Reach State:Fl.
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Phone No.56'14381'3073 Zip Code: 33407 .... Fax:
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E-Mail:Rosa.Piellez@fpi.c:oin
Phone No.5617.0..11-_3073
Fill in fee simple Title Holder on next page(if different E-mail Rosa.Pleitez@fpLoom
from the Owner listed above) State or County License E013006338
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If value of construction Is$2500 or more,a RECORDED Notice";31.64;iniiiencemerit is required. ---
Jan. 15. 2019 2: 51 PM No, 2368 P. 3
if value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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:SU.P,.PLEMCNTAL;CONSTRUCTIQN°I.iLN LAW:IN ORMATiON:::: < : ,:;.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address: --.-••••
City:_..__._................-.-......_...._._.__ State: City: --- State:
Zip: Phone Zip: Phone:
• 1EE SIMPLE TILE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: .__ Address: •__••,.• i
City:. — City: i
• Zip: Phone:_...... _ zip: Phone:
OWNER CONTRACTOR AFFIDVIT:Appllr:atlon 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 contlicC 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 l:he 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 rccordlnjyour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner S gnature of Co •ctor/License l igr.r
STATE OF FLORIDA 1 STATE OF FLORIDA ii /
COUNTY OF . �U I e. COUNTY OF3 / GCC-+t _..... l
The forgoing instrument was acknowledged before me The fo ging instrument was acknowledged before me
this_J5 clayL� •a
of (Si/10. ,2019 by this I day of ft,W,/iJ... ,20 q by
/C 1
chard Ford Jae1�,C�Jru T 1
Name of person making statement. Name of person making statement.
Personally Known ✓ OR Produced identification Personally Known / OR Produced Identification
Type of Identification 'type of Identification
P cd........_, Produced---........ . ......—
FA A4A , re-
(Signature of Notary Public-S 1• o Fl r'I•- Si•na ure of Notary Public-State o,:lorida)
(�/± 1Atl.� r�4`••. ROSA ELIZABETH PLEITLI II
Commission No,I Z'f'l i J ° �'°
A.1-,.,tl�ry Public-State of Floi Ilio mission No,GG7�14G6b • ,e•
't fi SAELIZABETH I'l.F.fTEZ
Commission k 66 249Gbes°;''1, Notary Public State of Florid
— `?6,14"7' My Cormn.rxpires Aug 16,,0)7 • �• °amiss
• Bonded through Nationale Nutary Assn. '• 6F.\ My gruels Expires'Aug 16,2012 1'
REVIEWS FRONT • .to • v NNS VEGETATION 5:A'1'UFisGLad l raVIANGRalblEtai As>r.
COUNTER RI;VILW REVIEW REVIEW REVIEW ®FITT 4gP"*
DATE
• RECEIVED
DATE
COMPLETED
tev. 1/9/20:1.9