HomeMy WebLinkAboutBuilding Permit ApplicationAltAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application 0101
Planning and Development Services aa�j3038
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Rhone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
ERMIT TYPE: Electric
Address: 5700 Killarney AVE Fort Pierce, FL 34951-4801
Property
Tax ID #:1301-613-0405-000-8 Lot No.
11
Site
Plan Name: Block No.
Project
Name: Levo
Install
120V 20AMP dedicated GFCI circuit
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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
_ _ _ _
Toltal Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 700.00 Utilities: —Sewer _ Septic Building Height:
NameAlbert M Levo
Name:Walter Nasi
5700 Killarney AVE
Address: Y
Company: Sol Electric LLC
City: Fort Pierce State:
Address:5500 SW 43rd Ter
City: Ft Lauderdale State: FL
Zip Code: 34951 Fax:
(hone No.607-206-8576
Zip Code: 33314 Fax:
E-Mail:N/A
Phone N0754-423-4107
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Fill in fee simple Title Holder on,next page if different
E-Mail wnasi72@yahoo.com
from the Owner listed above)
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State or County License EC13008044
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.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
,1
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:
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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.
StI 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
stricture. 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
iniaccordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
Tlie 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
ARNING 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."
Signature o Owner/ Lessee/Contractor as Agent for Owner
Signature Contractor/License Holder
STATE OF FL O
COUNTY OF %
STATE OF FLO DA
COUNTY OF251LOLc>44,
a' PA ,2 s�
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The forgoing instrument was acknowledged before me
thi� day of � �I ,DSO 20AD by
The forgoing instrument was acknowledged before me
thisy / day of _-�tI 20,'20 by
1 &� 1 _eoo
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Name of person making statement.
Name of person making statement.
PlIersonally Known OR Produced Identificationy
Personally Known OR Produced Identification
Tlype of Identificati
Type of Identif' Ion
Produced
lic State of Florida
?� KATH YN POCKER
y C mission GG 049422
Produced
'rr/21/2020
f No ry lic- S e of Florida '
(Signature tar �f� ®06d§4te of Florida
!(Signature
KATHRYN POCKER
Commission No. (Seal)
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:_; a My Commissi r� GG 49422
Commission No. Expires 11/21wal�
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 217119