HomeMy WebLinkAboutBuilding Permit Applicaiton All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
1^ 1 - . 01
Date: Permit Number: e)_oy��—
RECEIVED
Building Permit Application
EB.-o-6 2020-
Planning and Development Services Permitting Departm,,,
Building and Code Regulation Division St, Lucie
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT TYPE:Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 2704 Juanita Avenue, Ft.Pierce, FL 34946
PropertyTax lD#: -&)(0- 0(9-o�- 000ta' Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:.
Replace faulty outlets/replace GFCl outlet at bathrooms/replace exhaust fans at bathrooms/
install hardwire smoke detectors
CONSTRUCTION INFORMATION:.
Additional work to be performed under this permit-check all that apply:
—Mechanical Gas Tank Gas Piping —Shutters T Windows/Doors
Electric Plumbing ^Sprinklers —Generator Roof Pitch
Total Sq. Ft of Construction: 1,354 Sq. Ft.of First Floor:
Cost of Construction:$ 500.00 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Edith McClain Name:Joaquin J.Rivero
Address:2704 Juanita Avenue Company:AABAA Electrical Services Corp
City: Ft Pierce State: Address: 5951 NW 201 Lane
Zip Code: 34946 Fax: City: Miami State:FL
Phone No.772-626-6782 Zip Code: 33015 Fax:
E-Mail: Phone No 786-370-7840
Fill in fee simple Title Holder on next page if different E-Mail vrcayon1964@gmaii.com
from the Owner listed above) State or County License EC13006533
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.
IL
SUPPLEMENTAL CONSTRUCTION LIEN,LAW INFORMATION:,
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:
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,si ns,screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER. YOUR FAILURE TO RE ORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR P OPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JO S EFORE TH IRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YO)JR L D R RNEY FORE RECORDING YOUR NOTICE OF COMMENC n
Ste- - �CS
Sig r f Owner/ esse /C t a as Ag nt for Owner Signature of Contractor/ icense Holder
STATE OF FLORIDA STATE OF FLORIDA
CO NTY OF ST t v C2E COUNTY OF IT k
The forgoing instrument was acknowledged before me The forgoing instrument was ac n ge efore me
this 06 day of T-C-6 9- 2020 by this o6 day of F-P3¢x49-Y 2020 by
&0.1:1-m A WNEr_ JV4-Qv.TN R�J-v M-O
Name of person making statement. Name of person making statement.
Personally Known °� OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced n Producein
d
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DAY SI NOVA :o� G.
y � .. ? • Notar Public-State of Florida
Notary Pubiic-State of Florida y
(Signature of N a PI�11'>uskate 16% Ca mission# G 348406
(Signature f Nota P „_G-° tate�Fibftfgs Jun 25,2023
Dice My omm. x7v s Jun 25,2023
iorceC through N=41 Notary Assn. Bor•cec through National NotaryAssn.
Commission No. .....�,,,..,«., Commission No. V6'�'r ea
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19
i.