HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:Service cha
PROPOSED IMPROVEMEN-
N:
Permit Number:
Building Permit Application
Commercial Residential x
Address: 10725 s ocean dr. Jensen Beach, FL 34957
Property Tax ID M. 4511-501-0208-000-7
Site Plan Name:
Project Name:
I DETAILED DESCRIPTION OF WORK:
relocate pedastal meter to metermain on house with same size meter main.
CONSTRUCTION INFORMATION: ;�,;
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing
Total Sq. Ft of Construction: 741
Cost of Construction: $ 1500
_ Sprinklers _ Generator
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic
Lot No. 219
Block No.
_ Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mark McFarland
Name: Matt Raulerson
Address: 14203 Rick Drive
Company:The Electrical Experts
City: shelby Township, MI State: _
Zip Code: 48315 Fax:
Phone No. 586-419-9510
Address: 7990 SW Jack James Dr.
City: Stuart, FL State:_
Zip Code: 34997 Fax:
Phone No 772-210-6100
E -Mail: markdmcfarland@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail mraulerson@theexperts.biz
State or County License EF�998#44 L C 13QW43g
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:
Name:
— Not Applicable
MORTGAGE COMPANY:
Name:
— Not Applicable
Address:
COUNTY OF
Address:
The forgoing instrument was acknowledged efore me
this wTins�- 20 by
nt/
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
— Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Produced
A n
Address:
(Signature of Notary Public- State of Floridal—
City:
Commission No. (ICZ 351 t-•(� �i (Seal)
City:
FRONT
Zip: Phone:
SUPERVISOR
Zip: Phone:
VEGETATION
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."
Rev. 2/7/19
TAYLOR M JON11
Notary oub'ir $tair a' r ^ 'u
TAYLOR M JONES
Notary Public - State of
rnmmission B GG 35!
Bonded through National Notary
Signature of Owner/ Lessee/Contractor as ent for Owner
Signature of Contractor/License Holder
STATE OF FLORID
STATE OF FLORID /•
COUNTY OF +
COUNTY OF
The forgoing instrument was acknowledged before me
this D7 day of� /AS•r ,20jg by
The forgoing instrument was acknowledged efore me
this wTins�- 20 by
nt/
Mrr. h-'ti.l fkQ1e_" an
Mra i 1 hr ui �auEe Iz Snt 1
Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known V/ OR Produced Identification
Type of Identification
Type of Identification
Produced (�
Produced
A n
(Signature o�ublic- State of Florida
(Signature of Notary Public- State of Floridal—
Commission No. C C D (Seal)
Commission No. (ICZ 351 t-•(� �i (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
TAYLOR M JON11
Notary oub'ir $tair a' r ^ 'u
TAYLOR M JONES
Notary Public - State of
rnmmission B GG 35!
Bonded through National Notary
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