HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED °�
Date: 020-1 7 Permit Number: ( goat—` 03 6
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Planning and Development Services St.Lu 9 Qii,prf
Building and Code Regulation Division a County ent
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:Electric
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Address: 3380 Ironwood Ave Port St. Lucie FL 34952
Property Tax ID#: 3425-703-0358-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Taylor
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Install 120V 20AMP dedicated GFCI circuit 1
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Skastric _Plumbing _Sprinklers —Generator _Roof Pitch
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Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 700.00 Utilities: _Sewer _Septic Building Height:
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Name Elizabeth Taylor Name:AnthonyStumpp _ _
Address:3380 Ironwood Ave Company:Millennium Contracting Services Inc.
City: Port St. Lucie State: f - Address:9015 SE Hobe Ridge Rd
Zip Code: 34952 Fax: City: Hobe Sound State:FL
Phone No.772-785-8215 Zip Code: 33455 Fax:
E-Mail: Phone No561-718-9422
Fill in fee simple Title Holder on next page(if different E-Mail mcsielectric@bellsouth.net
from the Owner listed above) State or County License EC 1300 1885
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.
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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 herebymade to obtain a permit to do the work and installation as indicated.
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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 I
"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 TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.”
Signature of Owner/Lesee/Contractor as Agent for Owner Signatu of Contractor/License of er
STATE OF FLORI A /� STATE OF FLOR
COUNTY OF 134 cJ -i -v A COUNTY OF i m)/ii
Theforgoing instrument�vas acknowledg c efore me The forgoing instru was acknowledge efore me
this 0-day of f 2 1, ,20100L by this /D-day of ,20 by
0 4 !.LI X71 1-0/ (l crikal( v1KkIp(
Name of person making statement. Name of person*king statement. v
Personally Known e: •roduced Identification Personally Known(>4--- OR Produced Identification '
Type of Identific. 'onp Type of Identifi
Produc-• / C� Produced
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(Si:nature of N . 719Lot. R �kiat ff Florida Signat r�.P No't. Public-St.-- of Florida)
=} THRYN POCKER _ __
i r�"> J., My Commission G 08q9422 v�" Notary Public State of Florid $e.'
Commission No. "4, r,- 11i21i20•ea1) Commi 14ill N:,. ', - KER
.. p'.. cy Myo
Commission GG 049422
‘14.0;,4,1,0 pi 1/2020 •1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIO S i 1 • MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE -
RECEIVED
DATE
COMPLETED ; ,
Rev. 2/7/19 1
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