HomeMy WebLinkAboutBuilding Permit ApplicationAIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 1t2t2020 Permit Number:
Building Permit Application
Plonning and Development Services
Building ond Code Regulotion Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (772\ 462-1,578 Commercial Residential )(
PERMITTYPE: Electrical - Service Change
PROPOSED I M PROVEM ENT LOCATION :
Address: 32'1 Shady Lane
propertv Tax tD #: 34'1 9-51 0-0069-000-2
Site Plan Name:
Lot No. 1 3
Block No. 11
Project Name: lVKS Constuction - 321 Shady Lane
DETAILED DESCRIPTION OF WORK:
Replace service riser, wire, weather head. and meter Upgrade grounding
CONSTRUCTION I N FORMATION :
Additional work to be performed under this permit - check allthat apply:
Mechanical Gas Tank _ Gas Piping Shutters ..- Wind:ws/Doors
Electric _ Plumbing .- Sprinklers _ Generator Roof pitch
Sq. Ft. of First Floor:Total sq. Ft of construction:
Cost of Construction: S 994'00 Utilities: _ Sewer _ Septic Building H,:ight:
CONTRACTOR:
113rns MKS Construction LLC Name: Kent Blosser
Address: 461 sw Lairo Ave.Company: Blosser Electric
city, lorllll-ulre State:Address: P.O Box 7305
ZiP Code; 34953 city'191t!!ucl9
phone 116. 772-607-3088 ZiP Code: 34985
E-Ma il : mks.construclion7 7 2@gmail.com phone No 772-337-0055
Fill in fee simple Title Holder on next paCe ( if different E-1yr;1 nrblosser@gmail.com
from the Owner listed above)State or Countv License EC13001570
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is reouired.
lf value of HVAC is 57,500 or more, a RECORDED Notice of commencement is required.
OWNER/LESSEE:
GINEER: wot Rppficable MORTGAGE COMPANY: __ Not Applicable
Name:
FEE SIMPIE TTTLE HOLDER: _ Not Appticabte BONDING COMPANY: __Not Applicable
Name:
OWNER/ CONTMCTOR AFFIDVIT: Application is hereby made to obtain a permit to oo tt," *o.t rna i*,"It"i"" *-,"di.*dI certify that no work or installation has commenced prior to the issuance of a peimit.
st' Lucie countv makes no repre.sentation that is grantjng a permit will authorize the permit holder to build the subiect structurewhich is in conflict with anv.ipplicitite Hii{Jbrlvfieis A!s'o-c6ii;;'iii;;;6ti;w;;i;;d;bviihlii! tnat may restrict tir prohibit suchstructure. Please consult with liour nome ownejE Alsi,;iati;;;b' .d;i6fi'fiff #;d'il;d'i;liii;iil,iln riii6'li,i'v"jtpiv
In consid.eration of the granting of this requested.permit, I do hereby agree that lwill, in all respects, perfornr the workin accordance with the approved plans, the Florida Building CoOes anA 5t. Lucie Couniy 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
'WARilITG TO OWIIER: YOUR FAILURE TO RECORD A M'TIGE OF COTiIEilCETEf,T iIAYTWICE FOR IilPROVEiIEITTS TO YOUR PROPERTY. A IIOTrcE OF GOTilENCEiIEITT
POSTED Oil THE STTE BEFORE THE FIRST IilSPECTIOil. IF YOU TO OBTAIilWITHORBEFORE RECORI}NG YOUR }Igfirt,OF
RESI'LT IT YOUR PAYIilG
iIUST' BE RECORDED AI{D
COilSULT
D
of CIwner/ Lessee/Contractoi as Rge.'t for Ownet
The forqoing instrument was acknowledged before me
this lnO day of Gnv*iy , zOfu ny
STATE OF FTORIDA
COUNW OF_,j{ . Lvci a
PersonallyKnown r,/ O^producedldentification
Type of ldentification
Produced
f.er,1 {5loeg'"
Name of person making statement.
of Notary Public- State of Florida )
The forgoing instrument was acknowledged before me
fhic 3'r0 ,.1.', ^f i.^.s,,-.r. 1^ a^ L..
STATE OF FTORIDAcouruwoi- 9. Luclc
Name of person making statement.
Persona lly Known -{ o^produced ldentification
Type of ldentification
Produced
commission no.GCl O? I -g D
Public- State of FlorirJa )
GUY R BOUCHER
MY COMMTSSTON # GG09r810
EXPIRES Aprit09,202j
OUY R EOUCHER
MY COMMISS|ON # GG091810
EXPIRES April09,2021