HomeMy WebLinkAboutBuildilng Permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/09/2020
Permit Number:
SYJ
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential XXX
LP
RMIT TYPE:Electrical- Emergency
OPOSED IMPROVEMENT LOCATION:
Address: 108 Rio Mar Court
Property Tax ID #: 3419-575-0009-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Service change from 125 to 200AMP
CONSTRUCTION INFORMATION:
Lot No.8
Block No. 83
Additional work to be performed under this permit --check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
iL Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 8600.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR`:._ ...,..
Name Betty Sparlirlg (TR) Name:David A. Birth
Address:125 S State Rd 7 Ste 104-228 Company. Camouflage Electric Inc.
City: Wellington State: Addres5:460 NW Concourse Place Ste 11
Zip Code: 33414 Fax: City: Pt St Lucie EC
State:
Phone No. Zip Code: 34986 Fax: 772-340-0560
E-Mail: Phone No772-340-0111
Fill in fee simple Title Holder on next page ( if different E-Mail Davidbcei@outlook.com
from the Owner listed above) State or County LicenseEC13001924
If value of constructinn iC 4']Sr n - w -
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER;
Name:—
Address: -
City:
Zip:
Phone
— Not Applicable
State:
FEE SIMPLE TITLE HOLDER: Nat Applicable
Name:
Address:
City.
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
ZIP= Phone:
—Not Applicable
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 which is in conflict with any applicable Home Owners Associpermit will authorize the permit holder to build the subject structure
structure. Please consult with your Home Owners Associatioation rules, bylaws or and covenants that may restrict or prohibit such
n 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 CON ENCEMENT."
Signature caner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The f r Ding instrument was acknowledged before me
this'day ofYnCt,
20_,92 by
. A la - �, ,
Name of person making statement.
Personally Known
Type of Identification
Produced
(Sigriature of Notary
Commission Ljot�¢ pL9`;
:2. t
R � -
` FoF
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
OR Produced Identification
ic- State of Florida
COLINTE
VALEnmNo� �
otary P biic - St to of Florida
Commission # GG 062155
STATE OF FLORIDA ;
COUNTY OFS—�
The forgoing instr ment was acknowledged before me
thisday of _ 70.y
Name of person making statement.
Personally Known vl"� OR Produced Identification
Type of Identification
--AWZENTINO PEREZ
g Notary Public. - State 01 F{
Commission # GG 062.1�55
Bonded rhr.
:VISOR PLAN
EW I REVIEW REVIEW
ANGROVE
REVIEW I REVIEW