HomeMy WebLinkAboutBuilding Permit Application r. -
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��a N 1 \c\ Permit Number:
RECEIVE®
•
- Building Permit Applicatior JUIN 21 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE:Electrical
PROPOSED IMPROVEMENT LOCATION;
Address: 9400 S Ocean Dr 7038 Jensen Beach, FL 34957
Property Tax ID#: 3535-702-0050-000-2 Lot No.
Site Plan Name: Block No.
Project Name: OCEAN TOWERS CONDOMINIUM B- UNIT703 AND UNDIV SHARE IN COMMON ELEMENTS
-DETAILED DESCRIPTION OF WORK:
Update electrical panel
CONSTRUCTION INFORMATION:
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: Sq. Ft.of First Floor:
Cost of Construction:$ 1500.00 Utilities: —Sewer —Septic Building Height:
.O, NER/LESSEE: 'CONTRACTOR.
Name David Krochmal Name:Shawn Webb
Address:58145 Pheasant RDG Company:A Working Man's Electric, Inc.
City: Washington State: M I Address:4418 Pressler Lane
Zip Code: 48094 Fax: City: Fort Pierce State:FL
Phone No.586-219-380 Zip Code: 34982 Fax:
E-Mail:DSKrochmal12345@yahoo.com Phone N0772-216-5952
Fill in fee simple Title Holder on next page(if different E-Mailawmeinc@comcast.net
from the Owner listed above) State or County License EC13008220
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 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
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signa r/Lessee/Contractos gent for Owner Signat ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF AICA(-'h A COUNTY OF Mg,�A
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 0 day of J 4,1A .20 Ici by this I ti day of �1 yu' ,20 (9 by
5arIAU 1i_eudWVi(1L S-5e.ucQ�4U. W F�-1'tAeAJV%AL ,c
Name of person making statement. Name of person making statement.
Personally Known 1i OR Produced Identification Personally Known -< OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Public-State of FI ria na ure o Notary Public-State of
•., SANDY M.FREUD ,;�+:,; SANDY M.FRE
�--� i�g5o s Cornmissfon#GG 69 .. Commission#GG 1
Commission No '` 6� (,, .;
Expires December g, mission o. Expires December 19
BWW Thra Troy Fain 800-3851019 -7
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