HomeMy WebLinkAboutPermit App 8531 FlorenceAIIAPPTICABLE INFO MUST BE COMPLETED FOR APPLICATION
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Bu ild ing
Plonning ond Development Services
Building and Code Regulation Division
2j00 Virginio Avenue, Fort Pierce Fl. 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commer
PERMIT rYPE: ElectriCal
Address: 853'l Florence Dr,
Property Tax lD #: 3426-664-0056-000-4
Site Plan Name:
proiect Name: Brown Residence
Replace 2-gang meter located at rear oi yard
CONSTRUCTION I N FORMATION :
Additional work to be performed under this permit - check all
_Mechanical _ Gas Tank __ Gas Piping
_ SprinklersElectric-_ Plumbing
Total Sq. Ft of Construction:(n
Cost of Construction: $ 1'386 Utilities:
p6rn6 James W- Brown Jr _----- I ru
466r"rr. 8531 Flore_nce Dr.
-__---__ | Co
City: Port St. Lucie . Starc: -_ I na
7io 6o6n. 34952 Fax: i ci
PhoneNo.__ _ )Zi
E-Mail: i pfrt*"v"_,__------.-l'-'
I fitt in fee simple Title Holder on next page ( if different j f
I from the Owner listed above) i Str,____t
lf value of construction is 52500 or more, a RECORDED Notice of C
lf value of HVAC is $7,500 or more, a RECORDED Notice of
O BE ACCEPTED
Permit Number:
rmit Application
ial Residentia I
I
Lot No. 56
Block No.
t apply:
Sh utters -- Windows/Doors
._ Generator _ Roof pitch
. of First Floor:
Sewer _ Septic Building Height:
g. Kent Blosser
o.nu. Blosser Electric
ress, P,O Box 7305
Port St. Lucie State: FL
Fa x:o6". 34985
ne No 772-337-0055
il nl19_s_s:l@rnall.9l
e or Countv License EC13001570
ement is required.
ent is required.
PROPOSED.lMPROVE M ENT LOCATIoN :
DETAILED DESCRIPTION OF WORK:
OWNER/LESSEE:NTRACTOR:
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFO
DESIGNER/ENGINEER:__-. Not Applicable
Name:
Add ress:
City:
Zip: -_..----..'.__-_ Phone
FEE SlMPLE TITIE HOfPTN:
Name:
Nln+ Annlir-Al^ttvL nl/pttLoutq
State:
d d ress:
Zi7ip:
B
City:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hercbv made
lcertify that no work or installation has commenced prior to the issua
St,. lucir-..County.makes no rcprcsenlation thal is granting a permit willwnrcn rs In contttct with any applicablc llomc Owricrs Asiociation rulcsstructure. [)lease consult with your Hontc Owncrs Association ana ievi
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In conside ration of the granting of this requeste d permit, I do herebv
in accordance with the approvr:d plans, thr: Florida Building Codes anrl
The following building permit applications are cxempt from undergoi
accessory structures, swimming pools, fences, walls, signs, screen r
..}YARNINC TO OWNER: YOUR FAILURE TO RECORD A NO
T5 TO YOUR PROPENTY. A
POSTED ON THIYJOYSTE BEFORE THE FTRST INSPECT
Y BEFORE RECORDI-T
Signature of Owner/ I csscc/Contractor as nsent for Owner
STATE OF FLORIDA
COUNTY OF 5I. LUC'\t
-T hr: forg-oing instrumcfrt was acknowlcdged before_. mt:
this lfday of __Ntllnbra_, 20-_L(L by
fu^t Blosgr
thi
T
l)er
Tyt
Prc
Name of person mal<ing statement.
/
Pcrsonallyl(nown . Y, *OR Produccd ldentification
Type of ldentification
P rod u ccd
(Signature of Notary Public- State of Florida )
Commission *" .ftiO-9 l$.l0 (scal)
REVI[WS FRONT
COUNTER
[tArE - _-
i RECEIVET)
TDAf---'--'
i COMPLETED
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I RFVTEW I REVTE\
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MATION:
TGAGE COMPANY:_ Not Applicable
rCSS:
:State:
DING COMPANY:_Not Applicable
Phone:
obtain a permit to do the work and installation as indicated.
] of a permit.
Phone:
a full concurrency review: roorn additions,
s and accessory uses to another non-residential use
OF COMMENCEMENT MAY RESULT IN YOUR PAYING
ure of Contractor/License Holder
TE OF FLORIDA
NTY OF
reSs I
.uthorize the permit holder to build the subiect strucrurebylaws or and covenants that may restrict <jr prohibit suchyour deed for any restrictions which may aplply.
ree that I will, in all respects, pcrform the work
. trrcir: County Amr:ntlmcnts.
ICE OF COMMENCEMENT MUST BE RECORDED AND
IFY TO OBTAIN FINANCING. CONSULT
YOU3v
51. Luc\.
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forgoing instrumcnt was acl<nowledged before me
llh day of No v.l,^ bL- _, zoj{ oy
Ke".t R'
e of person making statentent.
: of ldcntification
u ced
f-
ature of Notlry Public- Stale of Florida )
mission *" _w-_Qq !_BL9 (seat)
ly Known {-OR Produced lrjcntification
VIGETATION
REVIEW
SEA TURI"tI
REVIEW
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MANGROVE :
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