HomeMy WebLinkAbouttom shoenberg (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-24-2020 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential yes
PERMIT TYPE: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 418 se European lane
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name: Electrical
ETjIIHD�DSCRIPTION OF WORK:
Installation of 3 duplex recepticle 3 lights and 1 switch , located on back porch covered
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. $ $1500 Utilities: —Sewer —Septic Building Height:
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CONTRACTOR:
Name-rom Shoenberg
Name:Tom Pope
Address:418 se European Lane
Company: Pope Electric Inc.
City: Fort Pierce State: _
Zip Code: Fax:
Phone No. 516-680-1796
Address: 750 SE Breakwater Ave
City: Port Saint Lucie State: FL
Zip Code: 34983 Fax:
Phone No 772-528-3594
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Popeelectric66@gmail.com
State or County License27461
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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DESIGNER ENGINEER: NAApplicable
/ _ Not OMPANY. Not Applicable
Name: Name:
Address: Addres
City: State: City: State:
Zip: Phone Zip: one:
FEE SIMPLE TITLE HOLDER: Appli able
B DI CO ANY: Not Applicable
Name:
ame:
Address:
Addr ss:
City: 7City:
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 that
covenants 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 COMMENCEM "
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFsan«uce COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this" day of C L ; 20Q_Q by this _ day of 20_ by
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 Produced
(Signature of Notary Public- State of Florida P 8 (Signature of Notary Public- State of Florida )
NOTARY UBLIC
Comm' ' n No. ( a r oSTATEO bion No. (Seal)
? Comm# 168186
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/ 1119
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