HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l / Permit Nu 0 �
RECEIVE®
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--- Building Permit Application JUN 2 0 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count FL
2300 Virginia Avenue,Fort Pierce FL 34982 yr
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMITTYPE: ELECTRICAL
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;PROF?1QSED)MPROI/EMENT LOCATION x
Address: 9940 S OCEAN DR, UNIT 1202,JENSEN BEACH, FL 34957
Property Tax ID#: 4502-502-0119-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
pETAILED DESCRIP:1 ION OF WORK z' y
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REPLACE EXISTING FLUORESCENT LIGHTING IN KITCHEN WITH 6 RECESSED LED FIXTURES AND RELOCATE
EXISTING LIGHT SWITCH AS NOTED ON PLAN. INSTALL A DEDICATED 20 AMP CIRCUIT FOR MICROWAVE.
CONVERT ALL KITCHEN AND BATHROOM OUTLETS TO GFCI PROTECTED.
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction: 160D Sq.kSewer
Ftt.of First Floor:
Cost of Construction:$ (' Utilities: _Septic Building Height:
Name MOANA MANAGEMENT INC Name: a John Cavnar
Address:3 PALMETTO DR Company: (fit p r--Ie-
City: STUART, FLORIDA State:_ Address: 3141 SW Dimattia Street
Zip Code: 34996 Fax: Cityport Saint Lucie State:
F_L_.
Phone No.954-553-10 1-1-1 fJ Zip Code: 34953 Fax:
E-Mail:ROBYN.BATSON@GMAIL.COM 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.
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„SUPPLEMENTAL CONmSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x 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
N a me:MOANA MANAGEMENT INC Name:
Address:3 PALMETTO DR Address:
City:STUART City:
Zip: 34996 Phone:954-553-1778 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 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 INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOU DER OR AN ATTORNEY BEFORE RECORDING .OUR NOTICE OF COMMENCEMENT."
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Signature f Ow ac
ssee/Contrtor as Agent for Owner Signatu o Contrac >/L-ice se Holder
STATE OF FLORID STATE IDA pp
COUNTY OF 5f-. �c.cc-� COLINTY'F SM_
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this "`day of dpi{ 201%y this lr_day of ,�Ht. 20AS by
Name of person mak=Aate . Name of person making statement.
Personally Knownduced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
R
d Produced
(Signature of Notary Public-State of FI 'E na ur f Notary Public-Stat
WY
EDWAR K YYAW I
? Notary Public- tate of Florida /��r �(�' :.•o~ �P •., EDWARD KOTCH
Commission No. (S, I�•.`
commission Q�Ot8602iSsio No.L?v- 0 a _ C;jfli
� etaryPublic-State ofFlori a
My Comm.ExpiesOct8,2021 Y CommissiongGG113682
, My Comm.Expires Oct 8,20 1
Bondedthrou hN Tonal NotaryAssn.
n e t roug NalianalNatary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MA R
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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