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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: U REC81 JAN 2 Building Permit Applic filo� 1 2020 Pale County, P rmitting Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: <, ���'cc�c PR©POSED GMPRC?UEMENT I.00ATIQN ° `T °sy 4 Address: 372 NETTLES BLVD Property Tax ID#: 4502-501-0558-000-7 Lot No.372 Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION U>=WORK ' S b g Install a new 20 amp 120 volt receptacle in new customer supplied enclosure plus/minus 5ft.from the existing power supply J '4h, Cf3NSTRUCTkt3k".1 NFOR1lIATION � . . .._- 9 ti Additional work to be performed under this permit–check all that apply: le hanical _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:$ 255 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE g4- C{1NTRi4'CTiJR 4 Name Carlen E Arnett(EST) Name:EDWARD D. FLACK Address: 1610 Marlyn AVE Company:KILOWATT ELECTRIC COMPANY City: Rothschild State: WI Address:1700 NW 22ND AVE Zip Code: 54474-1329 Fax: City: POMPANO BEACH State:WI Phone No.715-218-8380 Zip Code: 33069 Fax: 954-975-9946 E-Mail: Phone No 954-975-8200 Fill in fee simple Title Holder on next page(if different E-Mail EDDIE–FLACK@KILOWATT-ELECTRIC.COM from the Owner listed above) State or County License EC13001961 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. .k'�+.i' qgiv ' �1�K ,4,, .,ra'��«'..`3. a.a '.m ,:+csi. DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x—Not Applicable Name:N/A Name:NIA Address:N/A Address: 'N/A City: State: City: NIA State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name:-NIA Name:N/A Address:N/A Address: NIA City:N/A City:N/A 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 CO NCEMENT MUST BE RECORDED AND POSTED ON JO BEFORE THE FIRST INSPECTION. IF YOU N O IN FINANCING, CONSULT WITH YOU R AN ATTORNEY BEFORE RECORDING YOUR O MMENCEMENT." Signat r f Owner/Lessee/Contractor-as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA- STATE OF FLORIDA COUNTY OF BROWARD COUNTY OF BROWARD The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 16 day of JarvuARv 20 20 by this 16 day of�ANUARv 20 20 by o�c1Z Name of person making statement. Name of person making statement. Personally Known UK Produceden i ica ion OR Praducud�fdeF1L111LdL1UF1 Type of Identification Type of Identification Produced '��-711 L- Produced trtary Pubft Stats of�PlOrlde (Signature of Nota .Iy�{45 ign ture of Notary Public- �10�1$I oro, knee ... .... F ••• D..APIN SSI N#GG 022023 a wd' Commission No �"+y S:De d16,2020 � Commission No. BPublic U [e� oodedThN NotatY dertm REVIEWS RONT ZONING SUPERVISOR. PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.