HomeMy WebLinkAboutBuilding Permit Application All APPLICABLd INFO .UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1g9�-nen 1goch"o 5`O(�
RECEIVE®
• BuildingPermit A licati n 6
pp FFB 2 7 2099
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permittin
2300 Virginia Avenue,Fort Pierce FL 34982 --
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE:ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 7538 S U S 1 PORT ST LUCIE FL 34952
Property Tax ID#: 3�a�"' ���adp –� Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
ELECTRICAL WORK BY APPROVE PLAN
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
le'dectric —Plumbing —Sprinklers —Generator —Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:'
Name 1 U 11 , F 1 11 J Name:OMAR HERNANDEZ
Address: Company:METRO ELECTRIC SERVICE INC
City: r S ` State: ��-- Address:
15050 NE 20 AVE
Zip Code: Fax: City: MIAMI State:FL
Phone No. Zip Code: 33181 Fax:
E-Mail: <r, Phone No 305-941-1991
Fill in fee simple Title Holder on next page(if different E-Mail METROELECTRICSOSA@GMAIL.COM
from the Owner listed above) State or County License EC1 3005326
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.
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 JOB SITE BEFORE THE FIRST INSPECTIONJF YOU INTEND TO OBTA FI NCING, CONSULT,
WITH Y UR LENDER OR AN ATTORNEY BEFORE RECORDWC-YOtIR NOTICE OF COMMENCEMERV
G-�
Sig a of Owner/L see/Contractor as Agent for Owner i e of contractor ense o er
STATE OF FLORIDA STATE OF FLORIDAn
COUNTY OF ,'r. L-y COUNTY OF POI"-p
The forgoing instrument was acknowledged before me The f oing instrument was acknowledged before me
l
this; day of �-�- 20_M by thi;jr1gay 0f 20J4 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known_ Z OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary PublicUState of Florida) (Signature of N• Public-State of FI t
`�pRY 4Up
Commission No 'd '• D ��ll�� RIE GIVENS a „g• o XINFENG YJ
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MyCT n15 �'ION#GG 022023 Commission No. Z d_ �� MY COMMISSION#� EXPIRES:December 16,2020 �= EXPIRES:July'� darwrilersBonded Thru Notary PubG
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