HomeMy WebLinkAboutPermit AppAIIAPPLICABLE INFO MUST BE COMPLETED FOR
Date.3117l2020
APPLICATION TO BE ACCEPTED
Pcrmrt Numbcr:
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Planning and Development Services
Building and Code Regulotion Division
2)C0 Virginia Ave nue, f:ort Pierce tL 34982
Phonc: (112) 462-1553 Fax: (7721 462'1578
Building Permit Application
Commercial Residentia I
, prRMlrrYPE'Electric - Residential
Ll_89 P_o! E? | ryr PRg! E \tEII rgSArLQl!_I
Address: 5857 Dream Court
propcrtv I ax tD y. 3410"507-0041-000-3 Lot No.
Sitc Plan Narnc:Block No.
Drrrinrl [\iemn'Whalen Residence
I orrnuro DESCRTPTToN oF woRK:L**___
Relocaie 30 circuit 150amp panel. Move panel from kitchen to dining room wall.
lnslall ncw rcceptaclcs, (2) locations
l.t_:ONSTRUCTION INFORMATION ;I_l
Additional work tcl bc pcrformed unde r this pcrmit - r:heck all that apply:
_*Mcchanrcal
Eicctric
_* Gas'Ianl<
* Plumbing
__ Gas Piping
_ Sprinklers
_ Shutters __ Windows/Doors
_ Generator ._- Roof _=_ Pitch
ior.'rl Sn f-l of Concrrrrction:Sq. Ft. of First Floor:
Cost of Construction' S ?,11!"9,9-9- Utilitics: .-- Se wcr
-
Scptic Building Height:
CONTRACTOR:
5131np Francine Whalen i Namc: Kent Blosser
Addr css; 551 0 l?airttrcc Trail Com pa ny : Blosser Elcg[iq
r^it,r. Ft. Pierce*''t' _Statc:Addre ss; P.O Box 7305
Zip codc: 1199? _--- Fax:
phone y1o.7 7 2-323-1 1 1 4
1^;1,,. Porl Saint Lucie trlSIate:' -
Zip codc: -11-el!Fa x:
E-Mail:phone p6 772-33'i -0055
Fill in fee simple Title l{older on next page ( if different
from the 0wner listed above)
E-Ma il rrrblosser@gnrail.com
State or County License-fc1t9gf70
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
lf value of HVAC is 57,500 or more, a RECORDED Notice of Comrnencement is required.
t ZiP'. Phonc JLorE'
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I rEr stvtplE rlrLE H0LDER; -- rvot nf piil.nr" I aorvorrvCcorvrFnrrrv; - - -. - N; A;;[Jl.''--],Nl rmn l-.I r!drrr.-.-_ lNamc:__
6.y"*:*forrrrnl-ron nirrovri, nop i.u, on , n.,"on.ro" i" "0,1,. ;;;;, ," J.,r," *",r r"J .r,r,r;,";;;;J.;;;;-I certify that no work or installation has conrmenced prior to thc issuancc of a pcrmii
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORIVIATION:
bTsiG N E [/TN61N i fn: ---*-=__ N otAp p tr.r n r. -
MORTGAGE COMPANY:
Namc:
Not Applicable
STA'TE OF FLO}TIDA
couNry oF ____ _ _S'Lf.uje
Thc forgoing instrument was acknowledged before methis 18 day of tYlOfCh_ zdeCl ov
(Signaiure of I'Jotar / pub
TA]ION
St' Lucic countv makes no representation that is granting a permit will a,uthorizc thc pcrmit holder to build the subjecr strucrurewlricl't is in conflict with any.9'ppllcatj.le ttomc:owfie rs Aslotiaiioniuiei, oyraws or and covcnants that may restri* cjr prohibit suchstructure. Plcase consult with your Homc owners AssoCiaiion rna'ievi6w'voiiioeeo'roi-anii'iestrictions which mav applv.
ln consideration of the granting of this requested permit, ldo hcreby agree that lwill, in ail respccts, perform the worktn accordance with the approved plans, the l:lorida Building Codes andit. Lucie couniyAmendments.
ihc following building pcrmit applicaticlns are cxe mpt from undergoing a full concurr0ncy revicw: room additic.lns,accessory structurcs, swimming pools, fence-'s, walls, signs, screen rooms and acccssory uses to anc.lther non-residential use
"WARhIING TO OWNER: YOUN FAILUNE TO RECORD A NOTICE OF COMMENCEM Y RESULT IN YOUR PAYTNC
POSTED qJ'TTHE)OB SITE BEFONE THE FIRST INSPECTION. tF YOU
MUST BE RECOROED AND
IYITH R LE}DEN OR AN ATT Y BEFORE TTECORDINC Y
ANCtNc, CONSULT
(ENT-',
Signaturt of Contractor/Lice nsc fJolder
STATE OF FLORIDA
COUNTY 0r St. \ r rc_re
Ihe forgoing instrumcnt was acl<nowledged before me
this l8___ day of . .trlo*,f.elr _ _ , zo]eo nv
{er* $fs=er__
Namc of person making statcrxcnt.
Personally Known - I/ _ OR procjuced ldcntiiicar jon
Type of ldcrrtification
Produccd
Corn m issi
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ZONIN]G SUPt-RVISOR
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Pcrsonally Known - ,f_ OR produced ldentification
Type of ldcntif ication
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