HomeMy WebLinkAboutmckeever permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
--2 J
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 76 76 Sa'6CA 1 VAj
Legal Description:
Property Tax I D#: �� ` 1 r 0q- goof/ Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
t Ake 1_16 `8 AAl1,b R6CEP7 C'LES +
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all fn apply:
QHVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
PJElectric Q Plumbing 05prinklers []Generator Roof Roof pitch
Total Sq. Ft of Construction: _ S Ft.of First Floor:
cc
Cost of Construction: $ Utilities: _Sewer Septic Building Height:
OWNERAESSEE; `` CONTRACTOR:
Name MCI P166VER, Name: ARTHUR ENGELMANN
Address: 7476 Bo8ci-T )?VoU Company: ACCURATE ELECTRICAL CONTRACTING, INC
City: AA41- �u- 1 jciE State: R_ Address: 7193GULLOTTIPLACE
Zip Code: 3 i i5d- Fax: City: PORT ST. LUCIE State:FL
Phone No. 7/rL 079" 9 1'71 Zip Code: 34952 Fax:
E-Mail:_ aVT� ITtC LL L Phone No. 772-878-9171
Fill in fee simple Title Holder on next page(if different E-Mail: ACCURATEELECTRICPSL@OUTLOOK.COM
from the Owner listed above) State or County License: EC0003072
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: N a me:ARTHUR ENGELMANN
Address: Address:
City: State: City: PORTST.wCIF State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER., _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:7193 GULLOTTI PLACE 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 Horne 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 inspectior If you intend to obtain financing, consult With lender or an attorney before
commencinv9vork or r rcling your Notice of Commencement.
1
Signature of Own /Lessee/Contractor as Agent for Owner Signature of Contra or/License Holder
STATE OF FL RIDA STATE OF FLO DA
COUNTY OF COUNTY OF
L
The forgoing instrument knowledged before me The forgoing instr ent was a knowledged before me
this day of 20 by this day of 20L by
Name of perso aking statement Name of person ma ing statement
Personally Known OR Produced Identification Personally Known �� -t)P Produced Identification
Type of Identification Type of Identification
Produced Produced
�NI111111N1i1//j *�\111tC.VIRG,�//'���//
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(Signature of!Votary Public-StATe d o� -', ''� (Signature of Notary Public-St tee FI 0k271
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Commission No. .� 5 al `g5n; Commission No. 0107
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REVIEWS FRONT ZO - P R PLANS VEGETATION SEA TU't�PF}j VL .�fA (�'i t�VE
COUNTER REV I �► REVIEW REVIEW REVIEW �!!1 !ll1� IEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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