HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 18706 Tranquility Base Lane Port ST Lucie FL 34987
Legal Description: AERO ACRES BLK 3 LOT 1 ( 1.33AC) ) OR 3188-1.375
Property Tax lD#: 3215-801-0054-000-1 Lot No. 1
Site Plan Name: STACY LEWIS Block No. 3
Project Name: LEWIS
Setbacks Front Back: Right Side: Left Side:
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Power to 2 shutters with remote. Shutters by Folding Shutters
Additionalworktobnerormed- urn! er t is permit-check all app y:
HVAC Gas Tank ❑Gas Piping _Shutters ��Windows/Doors
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11 Electric 0 Plumbing Sprinklers El Generator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1100 Utilities: Sewer —Septic Building Height:
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Name STACY LEWIS Name: JAMES K WILLIAMS
Address:18706 Tranquility Base Lane Company: ARLINGTON ELECTRIC
City: PORT ST LUCIE State: FL Address: 3251 SE DIXIE HWY
Zip Code: 34987 Fax: City: STUART State: FL
Phone No.563-299-4302 Zip Code: 34997 Fax: 772-287-2380
E-Mail: Phone No,772-287-1353
Fill In fee simple Title Holder on next page(if different E-Mail:gregg@arlingtonelectricinc.com
from the Owner listed above) State or County License: EC 13007767
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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~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:
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St.Lucie County makes no represerttation that is granting a permit will authorize the permit holder to build the subject structure
which ls.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-residentlal use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result In your paying twice for
im . ements.to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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_Sig ture of Owner/Lessee/Agent Sign ure of on ctor/License Holder
STATI OF FLORIDA STATE OF FLORIDA
MARTIN
COUNTY OF COUNTY OF MARTIN
The forgoing InstrumRt was acknowledged before me Theforgoing lnstrumg�t was acknowledged before me
this day of U>Ce— , 20 nby this�day of" 3�t-c-- 20 J!�,_by
JAMES -K WILLIAMS JAMES K WILLIAMS
(Name of person acknowledging) (Name of person acknowledging)
(Signature o otary Public-State of Florida) (Signature otary Public-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced identification
Type.of Identification Produced Type of Identification Produced
Commission No. GR ROBINSON Commission No. ,,,
GREGG HROB INSON
r n; Notary Public-State of Florida F,,",.^ Of Florid:1
Notary Public- ate of Florwa
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ReViSeCI 07/15 y M Comm.Ex ires Se 25,2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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