HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: 05/28/19 Permit Number: 11v
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Building Permit Ap licatioAY282019�
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie CountyFL
2300 Virginia Avenue, Fort Pierce FL 34982r
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residentia x
PERMIT TYPE:200 AMP Service Change
PROPOSED IMPROVEMENT,' ATI.ON;:
Address: 1401 Parkland BLVD Fort Pierce, FL 34983
Property Tax ID#: 3409-705-0001-000-5 Lot No.
Site Plan Name: TOMLINSON'S UNRECORDED PLAT OF PART OF LOTS 215 AND 216 IN SEC 9-36-40 LOT 1 (0.21 AC) Block No.
Project Name:
DETAILED DESCRIPTION OF WORK
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CO,NSTRUCTIQN:INFORMATION:° ;Y
Additional work to be performed under this permit–check all that apply:
M hanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 1 Sq. Ft. of First Floor:
Cost of Construction:$ �UIJ� (��J Utilities: —Sewer _Septic Building Height:
OWNERAESSEE CO"NTRACTOR:
Name It/A3 OtC)7Pj Name:John Cavnar
Address: Company:Goldstar Electric
City: d�7® ) 'j rPC LC Stater Address:3141 SW Dimattia Street
Zip Code: Fax: City: Port Saint Lucie State:FL
Phone No. r Zip Code: 34953 Fax:
E-Mail: Phone No 772-380-5913
Fill in fee simple Title Holder on next page( if different E-Mail johnc@goldstar-electric.com
from the Owner listed above) State or County License 23575
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 INFORMAT{ON 1� r
410"E
DESIGNER/ENGINEER: _ Not Applicable .MORT-GAGE COMPANY-: _Nat-Applicable
Name: Name:
Address: Address:
-city: state: city: state:
Zip: Phone Zip: Phone:
FEE-S]MPLIE-TITLE-HOLDER: _Not Applicable BCtNDING C6MEsANY: 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 thepermit 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.perm it-appl ications-are-exempt_from.undergoing.a-ful Lcon curren cy_revi ew:.ronm-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 INSPECTION. IF YOU INTEND TO OBTAIN FINANCING IU
WITH YOUR LfNDER ATTORNEY BEFORE RECORDING YOUR NOTIQ OF COMMENCEMENT."
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Si t o ner Lessee/Contractor as Agent fo ^�; g ID
a u f C- ctor/License Holder fs
TATE OF FLORID ' - �� TATE OF FLOR
COUNTY OF COUNTY OF S `�' z
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The fo ing instr ment was acknowledged efor g'+1 The for instrument was acknowledg d efore
this day of 20 by < $ °� 'this day of 20 by
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Name of person making statement. ,'''!o: Name of person making statement. "'�; #:!�•'
Personally_KnownOR Produced Identific ib ,• •;�'�' Personally.Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of tary--Public at of Florida- - (Signature-of-No -Public--State-of-Florida-)
Commission No. (Seal) Commission No. (Seal)
REVIEWS- FRONT ZONING. SUPERVISOR PLANS. VEGETATION SEA TURTLE MANG-ROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED-
DATE
COMPLETED
Rev; 2-1411 -