HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O�
Date: February 14,2020 Permit Number:
RECEIVED
- Building Permit Application
ZOZO .
Planning and Development Services Permitting Department
Building and Code Regulation Division St.Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential,'AL
PERMIT TYPE:Electrical
PROPOSED'ItUIPROVEMENTLOeATION
Address: 10410 S. Ocean Drive Jensen Beach, FL 34957 (Unit 903)
Property Tax'[D#. 4511-514-0066-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Residence for Rick&Lorrie Mihaljevic
DETAILED DESCRIPTION OF WORK
Bathroom alteration: Supplied,&installed(3)high hats and outlets(3)switch outlets and replaced(1)exhaust fan and outlet
CONSTRUCTION?INFORMATION
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
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 935.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Rick& Lorrie Mihaljevic Name:Patrick Cristiano
Address:10410 S. Ocean Drive Company:Cristiano Eelctric, Inc.
City: Jensen Beach State:EL Address:5781 NW 15th Street
Zip Code: 34957 Fax: City: Margate State:FL
Phone No.585-315-6870 Zip Code: 33063 Fax: 954-969-9595
E-Mail:rmihalje@rochester.rr.com Phone No954-968-7477
Fill in fee simple Title Holder on next page(if different E-Mail criselec@bellsouth.net
from the Owner listed above) State or County License EC0002216
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.
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SUPPLEMENTAL CONSTRUCTION LIEN"LAW INFORMATION:
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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:
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,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 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 of Owner/Lessee/Co ractor as Agent for Owner Signature of Contractor/License Holder
-^—'—'
S2 STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �-LJLLQ UL- COUNTY OFBroward
The forgoing instrument was acknowled�fore me The forgoing instrument was acknowledged before me
this Eaay of C ,2� A ' 2 y this 14AI day of February �'L5F3 20.Q 0 by
�(\ (A) \ C, Patrick Cristiana . _V_ -, _ (
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known x�!S OR Produced Identification
Type of Identifica ' n aa Type of Identification
ProducedProduced
�iv"r�B KARLAYUGOVICH
=_• •�� Notary Public-State of Florida
Commission k GG 207273
(Signature of Nota (Signature of Nota Pu - °of
Bone throw National Notary Assn.
"" ELLEN VAUGHN
1PRY
Commission No. z° =State of F(bd��l Notary Public Commission No. cczo7v3 (Seal)
'c Commission # GG 270079
'9�F0 ��? My Commission Expires
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REVIEWS FRON O 1 `. K PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19