HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: Permit Number: I ul - ]-�y��
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Planning and Development Service's
Building and Code Regulation Division
I 2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial x Residential
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATIQ,N
y
a
r
Address: aaau vvrnpoorwni Lane
Property Tax ID #: 3211-811-002b-000-3 Lot No.
5
Site Plan Name: Hidden Acres Block No. C
Project Name: Oswald Residence
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11 Replace meter can at rear of house
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
X Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: NA Sq. Ft. of First Floor: NA
Cost of Construction: $ 15M00, Utilities: —Sewer —Septic
_ Windows/Doors
Roof Pitch
Building Height:
aUN>:Ft/L"EzSEE
'
CONTWAC1'OR
NameCarl Oswald
Name:Walter Runge
Address:5950 Whipoorwill Lane
Company:Coastal Electrical Service
Address: 2155 SW Gull Harbor Lane
City: Port St Lucie IState: rL
City: Palm City State: FL
Zip Code: 34987 Fax: na
Phone No.na
Zip Code: 34990 Fax: 772 286 5766
E-Mail:na
Phone N0772 286 5771
E-Mail richard@coastalelectricalservice.com
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
1
State or County License EC13001456
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or moreI , a RECORDED Notice of Commencement is required.
DESIGNE
Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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.
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 01 THE JOB SITE, BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOLIR LENDEjAR AN. ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signa ure of 0 er/ Lessee/Contractor as Agent for Owner
i
Sig ture o Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA,
COUNTY OFF
COUNTY OFF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of 20_ by
this day of 20_ by
Name of person makin'statement.
g
Name of persob
makingrstatement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
,s
ignature;of.—N 5 IMP ING
f�'{'PMMISS,ON
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(Signature of Notary Publii ' FlcbAftA iNAI M-RAHMING
• ,. MY COMMISSION # GG 275060
Commission No. Syr `�` Eli : December'20, 2022
.:. y # GG 2 50F:
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. •'
mmissi n`4rP� cember�lp Seal)
FFP
Bonded Thru Notary Public Underwrite
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DATE
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DATE
COMPLETED
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Rev. 2/7/19