HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE.COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �•� b' 1 Permit Num er: J 6 r
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Building'Permit�Appli ation. JAN 3_02019
Planning and Development Services Pe rrrl l ttl n
Building and Code Regulation Division g d e p a rtm e n t
2300 Virginia Avenue,Fort Pierce FL 34982 S t: .L U C i e
Phone:(772)462-1553,-Fax:(772)r462-1578-, . COt1 mercial. -. .. Resl e
PERMITTYPE:Uectri.c
PROPOSED INPROVEMENT LOCATION:
Address: 5228:Compass Cove PI
Property Tax ID#: 1410-502-0395-000-8 Lot No. . ..Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace mtercan
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical' '_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:$ 1800 Utilities: SewerSeptic Building Height:.
OWNER/LESSEE: -CONTRACTOR:
Name Karen Harrison Name:Lawrence Stubbs
23285 Oran a Ave p Y S&W-Electric Inc
Address: Co
9 m 'an
City: Ft Pierce State:_ 'Address:501 west Coker Rd
Zip Code: 34945 Fax: City: Ft Pierce State:FL
Phone No.772-216-4270 Zip Code:.34945 Fax: -
E-Mail:. :_:: Phone No772-464-6466,.; .
Fill in fee simple Title'Holder on next page(if different E-Mail,stuboutelectric@aol,.com
from the Owner listed above) State or County License29442
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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: 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 alf 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
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before the first inspection:If you intend to obtain financing,consult with lender or an attorney before . .
commenci work or recording our Notice of Commencement.
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nature of Owner/Lessee/Contractor as Agent for 0 ne r�
g • gnature of Contractor/License Holder Ail
STATE OF FLORID - _ - ATE OF.FLORI rN
COUNTY OF 9 OUNTY OF a�`°
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The forgoing instrum t was acknowledged before m w zw a forgoing instr ent was acknowledged before m mi 65
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this day of 20�.by _oa i day of Gt�yL 20/ e
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Name of person making statement. me of person m king statement. °°
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Personally Known / OR Produced Identificationrsonally Known � OR Produced Identificatio =
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Type of Identification ;-.X pe of Identification.,
Produced — oduced
(Signature of.No a Public-State of Florida) w (Signature of NotW Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS. . FRONT .. _. ..ZONING SUPERVISOR PLANS. VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.