HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
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Building Permit Application JUL 0 9 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 (Low Voltage)
FROPOSfD IMPROVEMENT LQCATION
Address: 6708 Gaddy St, Fort Pierce, FL 32951 -(Lakewood Park- Unit 8 (Map 13/02N))
Property Tax ID#: 1301-608-0215-000-3 Lot No. 7&8
Site Plan Name: Block No. 96
Project Name: Little Light Christian Academy
DETAILED DESCRIPTION O'F WORK
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Installation of Fire Alarm
A F146 'TC-+r K i i 1dA3 '9064 i UI�&D
-r�►s R �- 11;G'I 1-r FIS 19`7`7
CONSTRUCTION INFORMATION:'. =
Additional work to be performed under this permit–check all that apply:
_/Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
V Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 3252 Sq. Ft.of First Floor:
Cost of Construction:$ 1920 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE t R CONTRACT,,QR:
Name Sandra Yong-Duffy Name: Mark Maccarrone
Address: 9505 Listow Ter Company: Omega Systems Inc
City: Boynton Beach State: Fl- Address: 6615 W Boynton Bch Blvd#310
Zip Code: 33472 Fax: City: Boynton Beach State:FL
Phone No. 9548166522 or 9546480955 Zip Code: 33437 Fax: 8775976774
E-Mail: dwduffy55@gmail.com Phone No 5613061028
Fill in fee simple Title Holder on next page(if different E-Mail mark.maccarrone@omegasystems-inc.com
from the Owner listed above) State or County License EF20000818
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.
,SU PPLEMENTAL CONSTRUCTION,LIEN-LAW INFORMATION
DESIGNER/ENGINEER: _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 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
nature of Owner/LessCeAContractor as Agent for Owner Signature of Contr for/License Holder
TATE OF FLORIDA1 STATE OF FLOF�A
COUNTY OF bnkwL8 COUNTY OF-MIM. &GWJ J
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of :E Irl. 20 6 by this$day of ULLLLA 20_a by
OM y o I1 A — I)IA -rtil r� I�- (Tr) .
Name of person making tatement. Name of person making statement.
Personally Known OR Produced Identification Personally Known — OR Produced Identification
Type of Identification Type of Identification n
Produced ��— I)L 1 -�5 Produced� .V(rda kfCC LLC,
1JtiN CMry
�� V pG JUANIEPEINE
(Signature of Notary Publi S� ]tpltNllH (Si ture of Nota Public-S of dti a a
Co 011 6681 g ry )CommisCommission No. �� (� (Seal) Commission No. My�mm. 2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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