HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
AA
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) 452-1578 Commercial X Residential
PERMIT TYPE' Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 8851 Waterstone Blvd.
Property Tax Ill #: 1311 700 0030 000 6
site Plan Name: Club House
Project Name: Amenity lighting
DETAILED DESCRIPTION OF WORK:
Lighting installation located at the pool, playground and tennis courts
CONSfRIJCTION INFORMATION:
Lot No.—
Block No.
Additional work to he performed under this permit –check all that apply:
Mechanical _.__. Gas Tank Gas Piping _ Shutters Windows/doors
Electric Plumbing Sprinklers — Generator —Roof Pitch
Total 5q. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $i6000 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE'. {CONTRACTOR:
Name Waterstone Community Development Name: Thomas Patri
Address: 1400 East Oakland Park Blvd. Suite 103 Company: Bradford Electric Inc
City: Port Lauderdale, Florida State: Address: 1251 Jupiter Park Drive. Suite 7
Zip Cade: 33334 Fax:954-567-5166 City: Jupiter State: FI
Phone No.954-567-5161 Zip Code: 33458 Fax: 561--747-0677
E -Mail. quinnpropertiesotcr@gmaii.com Phone No 561-747-0656
Fill in fee simple Title Molder on next page ( if different E -Mail
HDR@BradfordElectric.net
from the Owner listed above) State or County License FL EC 13003147
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.
SUPPLEMENTAL
ONSTRUCTlQi1i L€EIV LAW INFQR�,jtATIQN: ---
M f MORTGAGE COMPANY: _ tot Applicable ..
Address: Name:
I City; Address:
State: C'
i' ilp:Fhnrro �' State:
23p: Phone:
FEE SIMPLE TITLE HOLDER.- -- ,%JotAppliwble BDNp1h16 trUFsl7PAIli4':
Address: m2me: —Not Appilicable
qty: Address:
ziip:_ Phone-
Phone-
cOwMA R AFnDi«i: ,Applhmtian made to �n u _.__.
[!mean t1as ccutzmenceed Prior to thr izaamce rf a STerrnit to do the ►ysrr:t atsd fauLaflatian as fndieatt§d.
SZ Lucie s n co's ma�:es no aPPlicablL Ho that E5ni:rsArg aernit i:il! auth0rizz the Permit holder to bid Id thasubiectstrucwre
str clt is . ca r ; tnsLi any appfir HD [!o rra errsssRsarion a n tries, f�yjat+:s ora nd coueasants;fi t may= re.tric[ ar prpt�lbit stit#t
strut[ure. Please ccnsulttvath yourHome D :Hers Association and rev4eWVQvr,les, bviaw deed o c oa-ep restrictions y res rict o p ro
€ !n r rcfanoe tvltii m tn can&dcratior of the ntatg of re urs2et! permit, s da F hY agree that i +elft, Ina!€ resper tzerFo df�e ti atk
pi 'd [? the s�arlda Budding, «s azar# 5t- Luce Caurdyr Amendments.
The for€oWh_'g farl!d ng permit epPSicatians are undergra6g a full conmre-ncy Mi=rsr room afttinm,
accessory structures, swimming poo is, renc2s, +r:a3ls. s(gns s[rci'n mo ms and accessary uses to another non-re idential use
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Si�n�ture of [?►tmprj CtsscejContractnr sAgent Farwncr S' �{ ;
Signature of GantraCutJLicense Holder \ --
5"F'Ailr OF FLORIDA5tATE OF FL€)MA.
CCs€3r OF— ►� 1 s +� CO iNTY OF - Ppfrn Eeach
� 7ita iorgofng Instrument was acknari - -- --'
edged before me
tfiis 20 city of �� - 20 i7ze � g.�ltig frrsuument was adYncrvfedged before n>e
bM tit[s 7 i day aF�f,'' 0 (-.' yy
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Mame of Person making state rr n:.
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1 [3R Produced (ttentfFlY tion
Type of identiFication Known own X OR Produced !de fi
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COMPLETED