HomeMy WebLinkAboutBuilding Permit Application �C;?
All APPLICABLE INFO.MUSE'BE COMPLEfiE13 FOR APPL1CA its VO BE ACCEPTED
batt^• ?�Zen,l ' r � sT7 PermitiNuniber:
-,- 3� '= FEB 2
0 2019
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Building Parrett Appli ca irmittinDepartpart n t
Planning and DenelopmentServkes St. Lia c i e County, L
Suflding and+Code Regulation DMslon
23W Wrylrrla Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial X� Residential
PERMIT TYPE:Electrical
i
PROPOSED INPROVEMENT LOCATION:Wdteratene Development
Address: 6851 Waterstone Blvd.,Fort Pismo.FL 34951 !a
Property Tax 1D#: 1311-700-6090-0000-6 Lot No.
Site Plan Name: Waterston Development Block No.
Project Name: Guard House I Monument Slum
[DETAILED DESCRIPTION OF WORK:
Rebuild service 12012401AQA.To support guard house area lighting and monument signs.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
,,,_Mechanical _Gasaank _Gas Piping „Shutters _,,,_Windows/Doors
X Electric _Plumbing _Sprinklers —Generator , Roof Pitch
Total Sq.Ft of Construction: Sq.It of First Floor
Cost of construction:$ 2450.00 Utilities: _Sewer _Septic Building Height:
OV019RALESSEE: CONT'RACfiOR:
6 Name Wasrstane Community DeveTypnent tNatrtct Name:Thornas Petri I
Address.1400 East Oakland Park Boulevard,Sufte 103 1 Company:Bradford Electric Inc-
city; Fort Lauderdale.FL State: i Address:1251 Jupiter Park Drive Sulte 7_�,
i Zip Code: 33334 Fax:(954)567-5166 --. -- City:Jupiter State.-_&—
Phone
tate:&Phone No.(954)567-5161 Zip Code:33456 Fax:W}747-0877
E-Mail:brummettdon@gmaO.com Phone Nom 747-0656 – -- i
Fill In fee simple Tate Holder on next pate(if different E-Mail HDR{c BnadfordElectr const i
from the Owner listed above) State or County License FL EC 13003147
i y�
tf value of construclion is$25W or more,a RECORDED Notice of Commencement H requlred.If value of HVAC is$7,500or more;,a RECORDED Notice of Commencenuot is roquiralL
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SUPPUMMAL COX MUCTION LIED LAW"l1► ORMAMON;
DESIGNER/ENGINEER: _,,,_NotAPP—Ic&-ba MORTGAGE COMPANY. NotApplicable _
Name: dame:
Address: Address: :
t City- _ _ State: Gty: ---- - State•
Zip:_ Phone ZIP.' Phone:
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FEE SIMPLE TME HOLDER: �Not Applicable BONDING COMPANY: ,Not Applicable
Name: _ _ Name:
Address: _ — Address:
�p _-Phone: ziw. 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. cie Count makes no representation that is granting a grit will out�orizee the permit hold% to build the subject str store
�l�ire,Pleas nsult wwiithpyour Home Owners�Assoriatioonn anreview your deed ffar�y restrictions s uvhic maor
apply lhit��
In consideration of the granting of this requested permit,i do hereby agree that 1 will,In all respects,perform the work
In accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following buliding 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.it you Intend to obtain financing,consult with lender or an attorney before
commencing work or recording your Notice of Commencement
Signature of Owner/Lessee/Contractor as Agent for Owner signature of contractor/License a e-r
STATE OF FLORIDA STATE OF FLO
F_ i�'
COUNTY Oa,1 _ COUNTY OFi
The forgoing instrument was acknowledged before me the f pin Ins ant was acknowledg before me
this'' day of - % 20 by thisey of 2OLLI by
Name of person making statement. Name of person making statement.
Personally Known L---"-OR Produced identification Personally Known_L,- 0R Produced Identification
Types f 1 dation Type of Identification
Pro �^�" 910 StProd
qtr Pu at&of Ftodda + Notary Publte State of noddy
Thea D puliam +p The
D Puliatti
d MY CotneniaslOn GG 187382 My Canmfaalon GG 187382
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Expires p 1 �.
Commissian'I�lo (Seal) Commission No. (Seal)
REVIEWS FRONT-^�ZONING ~' SUPERVISOR PLANS VEGETATION ! SEA TURTLE ! MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE �
RECEIVEQ
_ _—
OATE! --
I� coMPI EEED