HomeMy WebLinkAboutBuilding Permit Application S
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r-C Permit Num
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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 x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 18600 Tranquility Base Lane Port ST Lucie FL 34987
Legal Description: Aare Ames Rt K 3 I OT 8 ( 1 223A(') nr 1 1869-141.1- 4012-1 R96
Property Tax ID#: 3215-80140061-000-3 Lot No. 8
Site Plan Name: Block No. 3
Project Name: STEVEN ADAMS
Setbacks FrontBack: Right Side• Left Side:_..,•-,,,,
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Install power to 6 shutters with remote. Shutters by Folding Shutters. Permit# S I, e,-,-o04 - 0V&-2
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wor 'toa er orme under this permit-�c ec a app y:
HVAC 13 Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers D Generator Roof
Total Sq.Ft of Construction: S . Ft,of FirstFloor:
Cost of Construction:$ 2400 Utilities: Sewer l_J Septic Building Height:
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Name Steven & Leslie Adams Name: JAMES K WILLIAMS
Address: 18600 Tranquility Base Lane Company: ARLINGTON ELECTRIC
City: PORT 4T I l I('IF: State: FL Address: 3251 SE DIXIE HWY
Zip Code: 34987 Fax: City: STUART State: FL
Phone No. 777_817_69Q1 Zip Code: 34997 Fax: 772-287-2380
E-Mail: Phone No.772-287-1353
Fill in fee simple Title Holder on next page(if different E-Mail: gregg@arlingtonelectricinc.com
from the Owner Ilsted above) State or County License: EC 13007767
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: T 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:
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St.Luciie County makes no representation that Is granting a permit will authorize the ermit holder to build the subjects tructure
which is in conflict with any applicable Home Owners Association rules,bylaws or ancovenantsthat may restrlct 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 jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commenclu work or recording our Notice of CommencernetA.
A S
nature of Owner/Lessee/Agent SI re of Contractor/License o der
S ATE OF FLORIDA MARTIN ST TE OF FLORIDA
COUNTY OF COUNTY OF MARTIN
The forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this_day of . 20 _by this day of, ,20 _by
JAMES -lK WILLIAMS JAMES K WILLIAMS
(Name of person acknowledging) (Name of person acknowledgln
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(Slgnatur otary Public-State of Florida) (Signature o otary Public-State of Florida)
Personally Known X OR Produced identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal Commission No. eal _w
SWe all
GREGG H R06INSON GREGG H ROBINSON
Pub •t :•_ Commission•�R GG 03:•149
Commission•#GG 033149
Revised 07/15/201oc spy Comm.Expires Sep 25.2020 ;a� oP°a`' My Comm.Expires Sep 25.202C
'..FBandAd through Na Or-1 �Act-
V act.
OF F� .•
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS