HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE.INFO MU/SST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: 1/l��X—( -/ Permit Number: 19//— 0
RECEIVED
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Building Permit Application 2 2019
Planning and Development Services Permitting De
Building and Code Regulation,Division St. Lucle Coun�ent
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:Electric
Address: 396 Tropical Isles Cir#H-25 Fort Pierce, FL 34983
Property Tax ID#: 3410-508-0205-000-4 Lot No.H-25
Site Plan Name: Culver Block No.
Project Name:
Install 12V 20Amp dedicated GFCI Circuit
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:
�,MEN. �,/j j%�•' j.. �/e��
Name James A Culver Name:Walter Nasi
Address:396 Tropical Isles Cir Company:Sol Electric LLC
City: Fort Pierce State:_ Address:5500 SW 43rd Ter
Zip Code: 34982 Fax: City: Ft Lauderdale State:FL
Phone No.772-460-0974 Zip Code: 33314 Fax:
E-Mail:N/A Phone No 754-423-4105
Fill in fee simple Title Holder on next page(if different E-Mailwnasi72@yahoo.com
from the Owner listed above) State or County LicenseEC13008044
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.
I
I
NO
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 thepermit 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."
ure of Owner/Lessee/Contractor as Agent for Owner Si ture f Contractor/License Holder
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STATE OF FLO�RI A A}� STATE OF FLORIDA
COUNTY OF �DyA J� ICJW COUNTY OF S'&kM/4
The forgoing instrumen w solnowledg efore me The forgoing instrument was acknowledged before me
this��ay of V 20 by thiaLb dey of �UU 204 by
t rlmivle�s L),!52 oe k)t9 1 KJ A—5 1
Name of person making statement. Name of person making statement.
Personally Kno roduced Identification Personally Known_�OR Produced Identification
Type of Ident' ication Type of Identifi
Produced ' Produced
(Signat re),f P blit FloCd o Public Stam of Florida ignatu f to u at9C@f4 9A%ham of Fbrid.
KATHRYN•POCKER
e M Commission GG 049422 KATHRYN.POCKER
Commissio �No. �- a E401/21/2020 mmission No. MyCommift 049422
R iras 11/2 /2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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