HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
LR
ERMITTYPE: ELECTRICALOPOSED IMPROVEMENT LOCATION:
Address: 6506 PNESACOLA ROAD
Property Tax ID #: 1301-612-0070-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL 4 110V OUTLETS ON A 15 AMP DEDICATED CIRCUIT IN THE GARAGE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank — Gas Piping Shutters
✓Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 725.00
Generator
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
OWNER/LESSEE: iI CON
NameJUSTIN NAVIN
NamE
Address:5817 SUNBERRY CIRCLE
Comp
City: FT PIERCE State: EL
AddrE
Zip Code: 34951 Fax:
City:I
-
Phone No.772.321.1097
Zip Cc
E-Mail:
Phon(
Fill in fee simple Title Holder on next page ( if different
E-Mai
from the Owner listed above)
State
Lot No,
Block No.
_ Windows/Doors
Roof Pitch
Building Height:
rRACTOR:
PAUL ROMANO
any:AAPEX ELECTRIC INC
ss:561 SW BILTMORE STREET
'ORT ST LUCIE State: FL
de: 34983 Fax: 772.785.7058
N o 772.607.9494
AAPEXELECTRI C@YAH OO.COM
)r County License ER13014699
If value of construction is $2500 or mare, 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:
Name: Not Applicable
NaName:
Address: Address:
City: State: City:
Zip: Phone State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
Name: Not Applicable
Address: Name:
City: Address:
Zip: Phone: City: 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 Horne 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 Tn nRTeIN VIKIIARN.-MR11- ,,..�....
n ruuR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."�f��y�
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFsrLuae
COUNTY OFSTLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before
this 20TH day of SEPTEMBER 2019 b Y
me
20TH S y
this day of EFTEMeER 120101 b
PAULROMANO
PAULROMANq
Name of person making statement,
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Personally Known x OR Produced Identification
Produced
Type of Identification
Produced
( g ature of Notary Public- State of Florida j
pu'0li
(i ature of Notary Public- State of Florida }
Oi�Y JAJME L HARNER
Commission No. GG081922 ? ' •{ c c
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my EXPIRES Apra 2. 2t )?
Dt . PUe(j JA[ME L I-IARNER
Commission No. GG081922
,r My kION # GG 089122
Pa
47 EXPIRES: ApP7 2. V21
REVIEWS FRONT ZONING SUPERVISOR
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PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
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