HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:��Tl�� Permit Number:
RECEIVED
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DEC 2
--- - - _ Building Permit Applic �on�;e Co��ty, Per
Planning and Development Services miffing
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential i,—
PERMITTYPE: Electrical
PROPOSED IMPROVEMENT,LOCATION:
Address: 8232 S. Ocean DR Jensen Beach, FL 34957
Property Tax ID#: 3527-501-0038-000-0 Lot No.37
Site Plan Name: Diamond sands Block No. 2
Project Name: Apanovitch Residence
DETAILED DESCRIPTION OF WORK:
Service change out(replace rusted service)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
LzElectric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 2400.00 Utilities: —Sewer _Septic Building Height:
OW N ERAESSEE: CONTRACTOR:
Name Peter F Apanovitch Name: Guerry Parfait
Address: 8232 S. Ocean DR Company:GWP Electric LLC
City: Jensen Beach State:_ Address:282 SW Kestor DR
Zip Code: 34957 Fax: City: Port St. Lucie State:FL
Phone No. Zip Code: 34953 Fax: 772-621-2199
E-Mail: Phone No 772-485-2001
Fill in fee simple Title Holder on next page(if different E-Mail gwpelect(c@att.net
from the Owner listed above) State or County License 6,- 130 O1aaO
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 Noticeof�Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: /Not Applicable MORTGAGE COMPANY: _j,,::-Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: jZNot Applicable BONDING COMPANY: _LZNot 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."
Si u of Owne Lessee/Contractor as Agent for Owner Si u ontr or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S k% 1.o�'�� COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'd day of p•Qg_ 20�N by this Q,';day of_ �Q 20-h- by
(_1 Qe4-d_\ Qat F'A,�� C... -t rkI,
Name of person making statement. Name of pe0bn making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identi do
Produced rZ �. �'�— Produced �—
IS
(Signature of Notary P lic-State of Florida) l Sin ure` f� Publ' - 023
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EXP S:December l6, 020 Ile
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REVIEWS FRONT PLANS VEGETATION SEATURTLE MANGROVE
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DATE
RECEIVED
DATE
COMPLETED
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