HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line EL C7�3r—_::J
PRpPt3lD 1111PROVEMENT LOCATION:
Address: 161 SE SERENATA CT
Legal Description: RIVER PARK -UNIT 5 BLK 46 LOT 27 (MAP 34/28N) (OR 990-2740)
Property Tax ID #: 3419-540-0131-000-1
Site Plan Name: Murrell
Project Name: Murrell
Setbacks Front Back:
DETAILED DESCRIPTION of WORK;
Right Side: Left Side:
Build new 150 AMP service on north side of hoWi
enter of gable
Add GFCI next to stove
Tum junction box around next to stove )�4►
Refeed shed from meter main
r%uun.ivnaI WurK TQ og errormea u
HVAC 0 Gas Tank
ZElectric F]Plumbing
Total Sq. Ft of Construction: 608
Cost of Construction: $ 2350
Lot No. 27
Block No. 46
4
Ncr:: iq. — crieclk till LUi2r apply: -
Gas Piping 1El
7❑, Shutters Windows/Doors
Sprinklers Generator 0 Roof Roof pitch
S Ft. of First( Floor:
Utilities:oSewer F]Septic Building Height:
OWNER/LESSEE;
CONTRACTOR:
Name Miriam S Murrell
Name: Donald B Green
Company: Don Green Electric LLC
Address: 2411 SW 28th Ave
City: Fort Lauderdale State: FL
Address: 1305 W 1st Street
Zip Code: 33312 Fax:
City: Fort Pierce State: FL
Phone No.
Zip Code: 34982 Fax:
Phone No. 772-418-5738
E -Mail:
Fill in fee simple Title Holder on next page (if different
E -Mail: dongreenelectric@gmaii.com
from the Owner listed above)
State or County License: EC13007447
SUItiPLEIIENTAI CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: x Not Applicable
pP
;.
MORTGAGE COMPANY: Not Applicable
Name: "
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Tip: 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 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
com ncing work or recordiniz your Notice of Commencement_
of Owner,
STATE OF FLORIDA
COUNTY OF MARTIN
as Agent for Owner
The f rgaing instrumentwas acknowledged before me
this dayof _ 2011 by
DONALD B GREEN
Name of person making statement
Personally Known x OR Produced Identification
Tvoe of Identification
JVi YORIV I'"
Commission No.
REVIEWS IFRONT I ZONING
COUNTER REVIEW
DATE
Rev. 8/2/17
Signature of Contractor/License Holder V — v
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrumentvas acknowledggdbefore me
thi day of 20 by
DONALD B GREEN
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Commission No.
Public- State of Florida )
My Commission
SUPERVISOR I PIANS I VEGETATION I S EEV REVIEW i MANGROVE
REVIEW REVIEW REVIEW