HomeMy WebLinkAboutPermit App 8521 FlorenceAIIAPPTICABLE INFO MUST BE COMPTETED FOR APPLICATION
Date:
Bu ild ing
Plonning and Development Services
Building and Code Requlotion Division
2300 Virginio Avenue, Fort pierce FL 34982
Phone: (772) 462-1.553 Fax: (772\ 462-L578 Commer
PERMIT rYPE: EleCtrical
Address: 8521 Florence Dr,
Property Tax lD #: 3426-664-0054-000-0
Site Plan Name:
Project Name: Baglia Residence
DETAILED DESCRIPTION OF WORK:
Replace 2-gang meter located at rear of yard.
Additional work to be performed under this permit - check all
_Mechanical Gas Tank __ Gas Piping
.- SprinklersElectric*- Plumbing
Total Sq. Ft of Construction:Sq.
Utilities:Cost of Construction. 5 1'386
p366 David A. Baglia
Address: 8521 Florence Dr
1-;1,,. Port St. Lucie*'.r'_State:
Zip Code: 34952
--phone 11o, 21 5-932-1 049
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is S2SO0 or more, a RECORDED Notice of Com
lf value of HVAC is $7,500 or more, a RECORDED Notice of Comm
BE ACCEPTED
Permit Number:
rmit Application
ial Residential
Lot No. 54
Block No.
a pply:
Shutters _ Windows/Doors
_ Generator _ Roof pitch
t. of First Floor:
, Sewer _ Septic Building Height:
ncement is required.
is required.
PROPOSED IM PROVEM ENT LOCATION :
CONSTRUCTION IN FORMATION :
OWNER/LESSEE:
g. Kent Blosser
pany; Blosser Electric
ess, P.O Box 7305
. Port St. Lucie EI5tate:r L
o6". 34985
s ps 772-337-0055
u;; nrblosser@gmail.com
e or Countv License EC13001570
SUPPLEMENTAL CONSTRUCTION LIEN LAW INF
DESTGNER/e rucrrurrn:-..- Noi Applicable
Name:
Add ress:
City:State;
i Zip:..---...-.-t----__ phone
PLE TITLE HOLDER: -__ Not nppf icaOie -i a
Add ress:
j
OWNER/ CONTRACTOR AFFIDVIT: Applicatton is hcrcby nradelccrtify that no work or instariation has commencccl prior to the issu
llil-,l.il Cor.rnty makes no reprc,scrrtation rhar is grarrring a pcrmir wiwnrcn rs In conilicr with any appricabrr-. riome owiiers Ass'.ciaii;n ;riivvr rr I d i I y.d frp'Lr.ir)t' I lofte lJwners A-ssociation ru lestructure Please consurt with lour Hornc owneis nssociatron and rev
l: :::::1:r.:,1:: :1 lll" grantins of this requcsred pr_.rmit, I do herebyrn accordancc wrth tho approved platrs, thc Florida Buildine Code:s an
Hv,,,,,! st,plro(ruIJ dtu rj^cillpL lrom unoerqaccessory structures, swiml{g pools, fcnces, walls, signs, ,.r""n i
"wARNrNc ro owfi vy'un ra[uRE To REcoRD ATlytcE roR ,ljDtFRoyZtftrrurs To _youn pRopERTy. A
l.gjIED yr{rHgaoB s.rt;BFr6ft. rHE FrRsr tNspEcr
ROR LNEY_EEFOnE nEcoRDt
Signaturc of Owner/ l_e sscc/Contractor as ngcrt tor Owner Si
S
C
Ih
thi
OR l)roduced ldentification Pc
Ty
Pr
Commission N" qG__Qq l$0 /Snel\
RIVIEWS FRONI
COU N TER
ZONING
RIVIEW
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SUP[RVISOR ]PL
RFVI [WDATE I
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The following building permit applications arc exempr from under
i STATE OF FLORIDA
i coururv or _ 5{. Lu.\e_._--r_ FvsrL
i lhr:.forgoing instrument was acl<nowlcdgcd bcfore mr:
1 ttristllh day of __Nsu_q_r1h-f -_. _ -, 20" l$ by
i .. Kr:^t Blsssef
I t\amc ol person making slatcmont.
(Signature rif Notary public- Statc of f-joriOa )
RT
ORTGAGE COMPANY:_-_ Not Applicable
me:
ress:
Y State:
Phone:
NDTNG coMpANt: _N;iiilt;bi; -
C:
d ress:
Pho ne:
o obtarn a perrmit to do thc work and installalion as lndicated.
ncc of a permit.
i{i ililff iii fl :ifl t : slt r r l?
g:!i,, :! i';l ? ffii:.{,rfi ir? h)w your dced for any restrictions which ,i/ari'pfv.
ee that I will, in all respects, perform the workSt. Lucie Counly Amcndments.
a full concurrency rcview: room additions,
ano accessory uses to another non_residential use
OF COMME ENT MAY RESULT IN YOUR PAYINCTICE OF MUST BE RECORDED ANDIFY[TEfiiD TO OBTATN FtNANCtNc, coNSuLT
rcE or q_qtiluFry4tENr."Y
^/l
urc of Contraclor/1. ice nse Holder
TE OF FLORIDA Sf. L*igUNTY OF
rorgortg Instrumenl was acl<nowiedgr:d before me
f lh oovof f!o_u3i_nSt.( *_,zri tt "v
l{s^t lo69en
of person making statcmcnt,
lly Known 1 OR produccd tdentification
of ldentification
ed
n
'jr
ature of Notary Public- Stalc of Florida )
mission r" GtnSlgt_p_(.Se a l)
ll
S i VIG{-'TATION ]r\) 1 VLbl_ lAllON I SIA TURILT,wtREV|EW inrvtrwii--
ii____,_lil
MANGROVI
REVIEWt\A/ tfF\/rF\^/
i-_ .. ._.-_..,- _-_-,..j _,
GUY R BOUCHER
:rj
RMATION:
! MY COttlMlSSlON # GG091810
EXPIRESApril 09,2021