HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:.08/15112010 Permit Number:
RECEIVED
COUNTY
AUG 16 9019
Building Permit Application
Planning and Development Services ST. Dude County;Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)4624553 Fax: (772)462-1578 COmrberCial Residential, x
PERMIT TYPE: I e�-f r ,.L4
PROPOSED IMPROVEMENT LOCATIO;N;,
Address: 10707 Okeechobee Rd.
Property Tax ID#: 2327-501-0012-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OFWORK:
service change from 100amp to 200amp and relocate meter can
upgrade electrical conductors for air handler
FCCINSTRUCTION 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:$ 2450 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Saiah Skinner_ ;_: _::. : .W;•._;._... ,. Name:Lawrence Stubbs
Address:1070TQkeecfiotiee,Rd Company:S&W Electric Inc
,...
City: Ft.Pierce _ 50'1 W,CgkWRd_=_, _
State: Address:
Zip Code: - ~__- 'Fax: City:•Ft Pierce:.,_,K �-,t, r r State:Fl
Phone No. 34945
Zip Code:
E=Mail:' Phone N0772-464-6466.-,.-7-72;;201-7320
Fill in fee simple Title•Holder on next page( if different E-Mail danstubbs33@gmail.com
from the Owner listed above) State or County License29442
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: _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 YQUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TICE OF COMM EMENT."
ature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sk . `X'MV"- COUNTY OF 'S k. I-.Sc\@
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 2011 by this VS day ofJo ,20_J*A by
-o.+a4ilk Y,gz,�, S ���bS 14.1�A. 1'1_ b S
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
is
(Signature of Nota y Public-State of Florida --""� (Signature of _ `ic- ti01aA115 P0220?3
yE p1VENS *i K= EXPIRES:Dmmb6r 16.2020
Commission No.GCs rr Dg N �OZp Commission Nots� n+NohryPu n vers
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REVIEWS Fk G SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COU R REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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COMPLETED
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