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HomeMy WebLinkAboutBuilding Permit Application fl ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2/25/2019 ! Permit Number: b ©LI (I s :T _Tf RECEIVED COUNTY •F,L.,O R .1. D A MAR 0 4 2018 Building Permit Application Planning and Development Services Permitting°Qpertment St.Lucie County 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: Electrical PROPOSED IMPROVEMENT LOCATION: Address: 512 Banana Lane Legal Description: Palm Grove SID BLK J Lot 36 Property Tax ID#: 3410-503-0288-000-4 Lot No.36 Site Plan Name: Block No. J Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: , ._ - Change out#10 wire to#6 Romax wire and run it from air handler to breaker box for AC changeout. Change out breakers. i, CONSTRUCTION INFORMATION: Additional work to be performed under this permit–check all-hat apply: HVAC —Gas Tank nGas Piping _Shutters I l Windows/Doors i—i Electric ❑ Plumbing Sprinklers Generator El Roof Roof pitch Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ $800.00 Utilities:I'Sewer ElSeptic Building Height: OWNER/LESSEE: ,4CONTRACTOR Name Frank and Suzette Garra t -Name.,Keith Thompson , Address`512 Banana Lane '7,!/,,, ` 3Company AC Keith Inc iii,:::' `1 r City:.FT Pierce ' .. „ X °` State:FL :*--',,, State. ;Address:- i!:,,,G. - Zip_Code: 34982,. YS,fax r/awl :'City:-'`Port t 14161te' v.b ' State:FL � i. Phone No.201-388-5887 Zip Code: 34953 Fax: n/a _ E-Mail:n/aPhone No. 772-519-1351 Fill in fee simple Title Holder on next page(if different E-Mail: ackeithl@att.net I from the Owner listed above) State or County License: ER13014998 If value of construction is$2500 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commenci : work or r- rdin: our Notice of Commencement. - 609 1,7 . ' fry Li/ / �,;� Signature of Owner/Lesse- 'ontr.o as Agent for Owner Signature of Contractor/Lic-nse r er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LOCA_ COUNTY OF SI LJC'( rd- The forgoing instrument was acknowledgedepefore me The forgoing instrument was acknowledged before me this2day of j-e_br4o_ ,20 I ( by this 2-.. 4 day of Febtu(a ,20(°I by V;Q:N V-ki —IL Q s o ti V /ti► '-r -_p s o LI Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Y Type of Identification Type of Identification Produced e(,D Produced SOL (Signature of Nota • •ub is-State of.Florida) (Signature of Notary '..ic -SState of Florida) Commission No. 1( .t1. • '4' 1(t RE SARANTOS Commission No. (k ,loa o6 a THEDeat) SARANTOS 6 1 A t Notary Public-State of Florida -° ui = Commission #GG 044773 '? �" Notary Public State of Florida 1'%i `c ui Commission #GG 044773 1 „ .,,,��9, ., My Gonim :xpiira Nuv 3,2020 ; '�F d�`°� My Comm.Expires Nov 3,2020 REVIEWS FRO . - c • PLANS VEGETAT ' COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17