HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: J �q Permit Number: 1 1� ri
• RECEIVED ----
Building Permit Applicati n
Planning and Development Services DEC 0 5 2019
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residen la
PERMIT TYPE:Electric
!�0iii O ii% !IFo//i/���� / /// i/// /1NIN // i/ ///
Address: 5841 HONEYBELL CT 36D Fort Pierce, FL 34982-3962
Property Tax ID#.. 3410-507-0144-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Gannon
Install 120V 20AMP dedicated GFCI Circuit
FRIAdditional work to be performed under this permit–check all that apply:
M hanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric Plumbing _Sprinklers Generator _Roof Pitch
Total Sq. Ft of Construction: 4 Sq. Ft.of First Floor:
Cost of Construction:$ 700.00 Utilities: —Sewer —Septic Building Height:
30 V�Mlr2 N WIN,
0/7
Name George Gannon Name:Walter Nasi
Address:5841 HONEYBELL CT 36D Company:Sol Electric LLC
City: Fort Pierce State:_ Address:5500 SW 43rd Ter
Zip Code: 34982 Fax: City: Ft Lauderdale State:FL
Phone No.772-672-4380 Zip Code: 33314 Fax:
E-Mail:N/A Phone N0754-423-4107
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.
Rtip, � � ; �
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."
Signature&0 ner/Lessee/Contractor as Agent for Owner Signature cfi Contractor/License Holder
STATE OF FL &4))AA�
STATE OF FLOCOUNTY OM_ COUNTY O J �A a
The fo of ' strument was acknowledge before me The forgoing instrum nt as cknowledg before me
this ay of 20 by thiso��day of 2d� by
�A1A.10,1J
Name of p rson making statement. Name of person making statement.
Personally Known OR Produced Identificationy Personally Known vOR Produced Identification
Type of Identificati Type of Ide ication
Produced C— Produce
c stere of Florida
KATH YKFR
Signatur of ary fa�(noa btate of%ride (Signa ure o ota Pu ir'�,� f rgjrnss1on GG 048422
m
KATHRYN-POCKER xP rea /21/2020
Commission No. ,. MY Comm1�cy��GG 048$22 Commission
xplra t 20
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.