HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/16/19Permit'Number: 0 �Iq
- Building Permit Applicatio -
DEC 1.6 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)4:624578 Commercial Residential X
PERMITTYPE'electriC
,'PROPOSED IMPROVEMENT LOCATION: .
Address: 5507 EAGLE DR
Property Tax ID#: 1312-500-0057-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
replace 200 amp meter can
FcoNSTRUCTION',*IN FORMATION:
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:$ 750 Utilities: —Sewer Septic Building Height:'
.OWNER/LESSEE: :`: CONTRACTOR:
Name Rick-Pare Name:Daniel Stubbs
Address: 531,V.:,. r Company:S&W Electric— -
City: .State:,i=/ Address:501'W Coker Rd'
Zip Code: `3 cM S`! Fax: City: Fort Pierce State:Fl
Phone No. Zip Code: 34945 Fax:
E-Mail:' ' Phone N07724646466
Fill in fee simple Title Holder on next page(if different E-Mail danstubbs33@gmail.com
from the Owner listed above) State or County License30071 ,
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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."
"L 2"L-An-- zl� A54
Signature of Owner/Lessee/Contractor as Agent for Owner Signat re of Contractor/License older
STATE OF FLORIDA STATE OF FLORIDA ..
COUNTY OF Lair COUNTY OF
The fo going inst ent was acknowledge before me The forgoing instruLpent was acknowledge before me
this day of 20 by this 4&day of 20LI by
7�Ns�J I kLS
Name of person making statement. / Name of person making statement. /
Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification ✓
Type of Identifi n Type of Identific • ri---
Produced I Produced
/1 '0' J1 I ou�c_�� A
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(Signat re of Not 'c-Min (Signatur
`tpPY PKAREN S. NIELSEN
KAREN S. NIELSEN -,
,8, _s _State of Florida-Notary
Corn of Florida Notary(Bplary COmm1551 _N .c
*= Commission # GG 207484. # GG 20�
My Commission Expires ;of��o My Commission Expires.
Jun
REVIE NT ZONING SUPERVISOR". PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW. REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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