HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 7 Permit Number: V /
t"150 I-.M, Mi-1�1151 1 i RECEIVED
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Building Permit Ap;!a
Planning and Development Services
Building and Code Regulation Division Department
2300 Virginia Avenue,Fort Pierce FL 34982 County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT TYPE:Electric
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Address: 6395 Peterson rd Fort Pierce, FL 34947
Property Tax ID#: 2313-124-0004-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Peterman
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Install 120V 20AMP Dedicared GFCI Circuit
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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:$ 700.00 Utilities: —Sewer —Septic Building Height:
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Name Michael Peterman Name:Walter Nasi
Address:6395 Peterson Rd Company:Sol Electric LLC
City: Ft. Pierce State:_ Address:5500 SW 43rd Ter
Zip Code: 34947 Fax: City: Ft. Lauderdale State:FL
Phone No.772-528-0978 Zip Code: 33314 Fax:
E-Mail: Phone No 754-423-4105
Fill in fee simple Title Holder on next page(if different E-Mailwnasi72@yahoo.com
from the Owner listed above) State or County License EC 13008044
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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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 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."
S gnature of Owner Lessee/Contractor as Agent for Owner Signature of ntractor/License Holder
STATE OF FLORI A STATE OF FLO�
COUNTY OFCOUNTY OF
The fo oing instrumen w s acknowledge efore me The fo going instrum n was acknowledgQ efore me
this,�day of 20_by this of 2D/ by
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Name of person making statement. Name of person making statement.
Personally Kno OR Produced Identification Personally Known OR Produced Identification
Type of Ide ti�tion Type of Iden 'cation
Produce �-��/ Produced
°,yr w otary°ublic State of Florida
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Signatu of , U -Stq��konccuo)e of Florida ignature Not
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Commissi No. �,:_. °` My 9. 11422
oasa22 Commission No. (Seal)
fires 1112
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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