HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/18/2019 Permit Number: q 64-
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OCT 12019
____._._•_..•_ M__ .•� _;_....__ Building Permit Application
Permitting Department
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT TYPE:electrical
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Address: 99 Calle de lagos 'Fort Pierce, FL 34951
Property Tax ID#: 1301-500-0152-000-2 Lot No.99
Site Plan Name: Block No.
Project Name: Bruno Spanish Lakes
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Installation of 50A power inlet box for portable generator
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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:$ �`J -f C)• d C_ Utilities: —Sewer —Septic Building Height:
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Name David Bruno Name:Steve Courtney
Address:99 Calle de Lagos Company:Courtney Electric LLC
City: Fort Pierce State:_ Address:9035 Americana Road Ste.#15
Zip Code: 34951 Fax: City. Vero Beach State:FI
Phone No.(315)264-8000 Zip Code: 32966 Fax:
E-Mail:momofbruno@yahoo.com Phone No772-562-6048
Fill in fee simple Title Holder on next page(if different E-Mailsteve@courtneyelectric.com
from the Owner listed above) State or County License EC13006555
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 IMPROVEMEMAiTO
UR PROPERTY. A NOTICE OF COMMENCEMENT MU�FINN
RDED AND
POSTED THE JOB SITHE FIRST INSPECTION. IF YOU INTEND O OBT , CONSULT
WITH,YO LENDER OR EY BEFORE RECORDING YOUR TICE O COMMEN
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ignat of Owner/Lessee/Contr gent for Owner Signa z�of tractor/License older
STATE OF FLORIDA _ STATE OF FLORIDA
COUNTY OF ('!(J�� COUNTY OF
The f r oing instrum as cknowled before me The fo oing instru ent as acknowledgedore me
this day of ,20 by this ay of 20
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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 1�
(Signature of Nota P a e of IdrFdW)VAU G H NP
(Signatur
_ tate of Florida-Notary Public �,vAYp�,,, ELLEN VAUGHN
y <= Commissjo GG 270079 `" s
Commission No. e,� n{rl�fi Commissi o _state of Florida-Notar(� c
y Co ion Expires =. _ n# GG 270
October 22, 2022 ; oe'c My Commission Expires
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
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