HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 150,
Date: PermitNumber:
p.
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
PERMIT TYPE:Electric
Address: 5861 Travelers Way Ft Pierce FL 34982
Property Tax ID#: 3410-503-0075-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Morgese
NE
ME 1;P
Install 120V 20AMP dedicated GFCI Circuit
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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:$ 700.00 Utilities: —Sewer —Septic Building Height:
Name Michael P Morgese Name:Walter Nasi
Address:5861 Travelers Way Company:Sol Electric LLCnc
City: Fort Pierce, State: Address:5500 SW 43rd Ter
Zip Code: 34982 Fax: City: Ft Lauderdale State:FL
Phone No.772-465-9162 Zip Code: 33314 Fax:
E-Mail: Phone N0754-423-4105
Fill in fee simple Title Holder on next page(if different E-Mail adampocker@gmail.com
from the Owner listed above) State or County License EC1300 8044
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 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."
Signatur of Own /Lesse Contractor as Agent for Owner Signatur f Contractor/License Holder
STATE OF FLORI�A� STATE OF FLORIDA� ,,,, nn ���
COUNTY OF (/�� Ili COUNTY OF A �I. A&Y
The fyyor,ggQQing instru nts acknowledge efore me The forgoing instru nt w s acknowledge before me
this�CY[day of 20 by thisday of 2 j by
Name of person making statemen . Name of person making statement.
Personally Known OR Produced Identification Personally Known_/OR Produced Identification
Type of Identific • n Type of Iden
Produced . &if Produc
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(Si ature N , ry u 'c �a of R9PJr31���biic state a Florida igna re of ota S a E o pr a
KATHRYN POCKER o
Notary Public tale of filorida
N e My Cpp,mlttm�ssion GG 040422 : KATHRYN-POCKER
Commission No. �n Expirt33�Y2112o20 Commission No. N Q My CommIs(1mBa#049422
_4;e0t,1Pdr Expires 11/21/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19