HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I � Permit Nu er.- V 0 '
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MAR 10 2020 020
Building Permit Application
Planning and Development Services Permittig _ ea
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Building and Code Regulation Division St. LULe COUntY, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:ELECTRICAL
PROPOSED 111/IPROVEMENT LOCATION':
Address: 7684 WYLDWOOD WAY
Property Tax ID#: 3321-801-0006-000-6 Lot No.6
Site Plan Name: DARYL SANDAKER Block No. PHASE 1
Project Name: SANDAKER RESIDENCE
tiETAILED DESCRIPTION OF WORK ;:
.
INSTALL GENERATOR INTERLOCK INTO ELECTRICAL PANELS - e
CONSTRUCTIQN 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:$ 1065.00 Utilities: —Sewer _Septic Building Height:
QWNER/LESSEE CONTRACTOR `s 3
4. :r..
"Name c a Name:WALTER RUNGE
Address: �� c� /Irl(Uoay we / Company:COASTAL ELECTRICAL SERVICE INC
City: - o i 0' L'J Cic State: Address:2155 SW GULL HARBOR LANE
Zip Code: 3 q 9�� Fax: City: PALN CITY State:FL
Phone No. 64 Zip Code: 34990 Fax: 772 286 5766
E-Mail: )k ta Phone N0772 286 5766
Fill in fee simple Title Holder on next page(if different E-Mail richard@coastalelectricalservice.com
from the Owner listed above) State or County License EC1 3001456
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.
SUPRLEMENTAfi CONSTRUCTION LlEI LAW lNEORlVlATlQ;N `
i.
DESIGNER/ENGINEER: _Not Applicable r 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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON T JOB SIT RE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR NJ
O N ArTTORNEY BEFORE RECORDING YOUR N CE OF CO NCEMENT."
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A"I
Signa re ofOwne Lessee/Contractor as Agent for Owner Sign ure of Contr 'C't-w icense Holder
STATE OF FLORIDA \ - STATE OF FLORID
COUNTY OF— COUNTY OF A-
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this day of�� 20c_) Uby this, O day of 1 cfC'/` 20::::2-0 by
Name of person making state ent. Name of person making statemen .
Personally wn OR Produced Identification" Personally Kno OR Produced Identification
Type of IdentifI tion pp Type of ldent;f cat
Produced ' �.�1i1 L Produced ,
{Signature of {Signature of tart'Public-State of Florida}
AUDREY B.HUMPHREY „„
Commission ;.. -4 MYC ISSION�I�)M17 Commissi � Y°`�%5 AUDREYS.HUMPHRIOeal)
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.......,�P�'8on+SIRES:March 6,2023 ' ' r 3a MY COMMISSION#GG 300617
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Bonded 711111
Public
REVIEWS FRONT ZONING SUPERVISOR PLANS i �^ �l ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev.2/7/19