HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 222-19 Permit Number:
•
Planning and Development: Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Electrical
PROPOSED IMPROVEMENT LOCATION
Address: 6112 Papaya Drive
Property Tax ID #: 3402-610-0658-000-3
Site Pian Name:
Protect Name: Mesita Residence
DETAILED DESCRIPTION OF WORK:
Replace weatherhead
CONSTRUCTION INFORMATION:
Building Permit Application
Commercial Residential x
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters
Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 600.00
OWNER/LESSEE:
Name Guido R. Mesito Jr. - Reanna S Mesito
Address: 6112 Papaya Drive
City_ Fort Pierce State;
Zip Code: 34982 Fax:
Phone No. 772 370-0234
_ Generator
Sq. Ft. of First Floor.
Lot No.2
Block No. 97
Windows/Doors
— Roof Pitch
Utilities: — Sewer _ Septic Building Height:
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Joseph E. Herndon, Sr.
Company: Joe's Electric of St Lucie Cnty., Inc.
Address: 1206 Bell Avenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No 772 465-2363
E -Mail Joeselecstiucie@aol.com
State or County License EC13007203
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.
1 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TD OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signat" -tst
Lessee/Contractor as Agent for Owner Signa a of C ntractor/ icense Holder
S TE OA STATE OF FLORIDA
OUNTY
COUNTY OF st�u
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ZZ day of February
20_ by this 22 day of February 20 by
Joseph E. Herndon, Sr. Joseph E. Herndon Sr.
Name of person making statement. Name of person making statement.
Personally Known 10' OR Produced Identification Personal) Known
Type of Identification Type Y OR Produced Identification
Produced of Identification
Produced
(Signature of Diary Public- State of Florida }
Commissi RANDOLPH MC IIeL
,•: ;� NIY COMMISSION N FF915&M
r.,rr *-0153
REVIEWS
COUNTER I REVIEW
RECEIVED
DATE
COMPLETED
(Signature �OfNot�ryubGc- State of Florida }
Comm
JPERVISOR PLANS
REVIEW REVIEW
RANDOLPH MCDXNI&
. MY COMMISSION FF915W4
Luc ANGROVE
REVIEW REVIEW REVIEW