HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-a--t Permit Number: A )'V (6:53
COUNTY ��' ; RECEIVED
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_.,�,�.. ,,,_. _.__,_,,,,,.,,,_,�. ,. . _ _ _ Building Permit Application MAR 2 9 1018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982 i
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:Electric
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Address:
2939 Yates Rd Ft. Pierce, FL 34981
Property Tax ID#: 2419-434-0006-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Brown
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Install 120V 20AMP dedicated GFCI circuirt
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors i
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
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 William Brown Name:Walter Nasi i
Address:2939 Yates Rd Company:Sol Electric LLC
City: Fort Pierce State:_ Address:5500 SW 43rd Ter
Zip Code: 34981 Fax: City: Ft Lauderdale State:FL
Phone No.772-466-5145 I Zip Code: 33314 Fax:
E-Mail: I Phone No754-423-4105
Fill in fee simple Title Holder on next page(if different E-Mailwnasi72@yahoo.com
from the Owner listed above) State or County License EC1300 8044
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: I
Address: Address: II
City: State: City: State: II
Zip: Phone Zip: Phone: II
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address: I
City: City:
Zip: Phone: Zip: Phone: !
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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 represu
sentation that is granting a permit will authorize the permit holder to build thesubject structure
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. 1
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.
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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 1
"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 YO R NOTICE OF COMMENCEMENT."
44 4714\.
7 /1• ,moi '
S gna ure of Osee/Contractor as Agent for Owner Signa' re o Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ,e�'�Ztll'I w- COUNTY OF -v/ 5s.0--/9
The fo go g instrument was acknowledged efore me The for oing instrument was ac,�npwledge,l before me
this •3 day of (4i1, d-i ,20 /,by thiday of 17/44/i...-e..f ,201 by
A1////h9fire' w ik41 kdiq 1 Nr7 1
Name of person making statement. Name of person making statement.
Personally Kno • Produced Identification Personally Known '' Produced Identification
Type of Ide' ification Type of Identif ion
Produc:d 2.--/C...) Produced
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fate Of 161-Ida 47' <
( g �, r N tory 'ubiic tate o I ride (Signatu o jr },y ►� �-
h ub" State of Florida
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• KATHRYN DOCKER :� KATHRYN DOCKER (Se-,
Commission ' g M Commission GG(6491i�2 Commis •t'l, ?;r.• My r•.�mm,na�an GG 04ea22
Of P. Expires 11/21/2020 70;tri. Expires 11/21/2020
REVIEWS FRONT I ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19
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