HomeMy WebLinkAboutBuilding permit Application y- I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
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'COUNTY' F:Nn . Pen J./
.F'.'.1 0 R ! _D A Pe,.... 2019
iiiimmamemmp Building Permit Application j44e0�PrF�
Planning and Development Services L'aynki ept
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Electrical
PROPOSED INPROVEMEENT LOCATION: ' ,
Address: 7805 Hibiscus, Lakewood Park, Ft Pierce, 34951
Property Tax ID#: t JO I ' LQ6 5. 0 \q I' ono .9 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTIONIOF WORK:
Service change- Replace electrical panel 'i le K 15:-A, L,/e. hoc A x110
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: $ 1,550.00 Utilities: _Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR: =
Name Katie H' ntress Name:Thomas Granims
Address: / 0 l FS' IV)(i/lg.&. 4,9 Company:Paragon Electric od Vero, Inc.
City: I2I1 P/�A- StateL Address:9120 16th Place
Zip Code: 3 yl IS- Fax: City: Vero Beach State:FI
Phone No.772 323 1010 Zip Code: 32966 Fax: 772 299 5167
E-Mail: Phone No772 569 8961
Fill in fee simple Title Holder on next page ( if different E-Mail paragonelectric@bellsouth.net
from the Owner listed above) State or County License EC0002731 /
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:
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address: 1
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 represu
sentation that is granting a permit will authorize the permit holder to build thesubject 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 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 your Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signafure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ,_d/ MJ A COUNTY OF - ,d4 JA
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this /f g�,�2
day of r!�;���p2r�, ,20ft by this j fa day of �s'"y','- 4 , 2011 by
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
Produced Produced
•'' ISTEN BREWER
(Sign"?7of rotary '4'44 lc rbi N+l ep)ber9 2020 a r us n GG 048189
-* , , (Signat re of otary P� {c - �'� r i
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Bonded TiuuTroy Fain Insurance 6D0385.7019 +,•' ,. ve ber"%7 crMstY Bonded Thru Troy Fain nr9 20ce 003957019
Commission No. Commission No. Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
rev. 9/26/18