HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n/ 1
Date: �� �• �� Permit Number: �`�/0—p / �
Am c ik 'Vu t a Q6
ROE EIVED
Building Permit Application OCT 7 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 t. C County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial R
PERMIT TYPE: OVERHEAD TEMPORARY POWER SERVICE
PROPOSED IIVIPR01/EMENT'LOCATION,r x,..
Address: 504 E. MIDWAY ROAD nn
Property Tax ID#: 3A()-L d 605 009 6-- O0O_ "1 Lot No. E-1
Site Plan Name: Block No. �
Project Name:
DETAILED:DESCRIPTION OF;WORK y
4X4 POST, IN GROUND AND BRACED, WITH WEATHER A �
RATED SERVICE PANEL AND
METER CAN, VERTICAL MAST AND WEATHER HEAD FOR FPL HOOKUP.
CONSTRUCTION INFORMATION i
i
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: N/A Sq. Ft. of First Floor:
Cost of Construction:$ 500.00 Utilities: —Sewer —Septic Building Height:
OWNER
/LESSEE CONTRACTOR
Name MATTHEW CALLAHAN Name: JIM BROWN
Address: 504 E. MIDWAY ROAD Company: JIM BROWN ELECTRIC
City: FORT PIERCE State:FL- Address: 3140 NE HICKORY RIDGE AVE
Zip Code: 34983 Fax: City: JENSEN BEACH State: FL—
Phone No. 772.528.1009 Zip Code: 34957 Fax:
E-mail: MJCCONSTRUCTION@AOL.COM Phone No 860.803.5333
Fill in fee simple Title Holder on next page (if different E-Mail JBD5333@GMAIL.COM
from the Owner listed above) State or County License (30871) ER13015450
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.
INSUPEMETAL CONSTRUCTION LIEN LAIN INFORMATION
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: �4 Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: C 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."
SEntru're of Owner/Lessee/Contractor as Agent for Owner SigRgfure of ontractor/License Holder
STATE OF FLORID ., STATE OF FLORI "'' ll
COUNTY OF -!� COUNTY OF � A!
Th ting instr t was acknowledg before me Thg o oing instr t was acknowledg before me
this O"qday of P 201, by this day of 20 by
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
*(Signabture of Notary Public-State (Signature of Notary Public-State
6ARIAH MILLS "; ARIAH MILLS
a$ry ission#GG 100722 = �� "
Commission No. (: �' Commission No.
REVIEWS
100722
es June 3,2021 px June 3,2021
t• BondedThmDay Fain lnsumnceBDOJBs10 BondadThruTmyFain lnwrenceB00J8S71B
REVI WS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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