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HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: L�tJ Permit Number: B p Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application Commercial x Residential PERMIT TYPE: Electrical PROPOSED IMPROVEMENT LOCATION: Address: 3412 Industrial, 33rd st Property Tax ID #. 1429-501-0030-000-7 Lot No._ Site Plan Name: Airport industrial Park Block No. Project Name: AAA Coper transportation DETAILED DESCRIPTION OF WORK: - Replace burnt up meter jaws 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: Cost of Construction: $ 350.00 OWNER/LESSEE: Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: Named Cooper Transportation Address: PO Box 6827 City. Dothan AL. State: Zip Code: 36302 Fax: y Phone No, E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name:James Murray Company:Go Local Electric LLC Address: 670 SE. Monterey rd City: Stuart Zip Code: 34994 Fax: n/a Phone No 772 237 2351 E -Mail info@golocalelE;ctric.com State or County License ERI 3015152 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. State: FI SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable 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: ntmmco I ilrxi Tn A r -r.,., a rrr.c .r ---- -�-•rI" %Awn nrrwpr, i Appication 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 applicabie 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, wails, 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 ITH YOUR LENDER OR AN ATTORNEY BEFORE CO INC YOUR NOTICE OF COMMENCEMENT." 11 1 Signature o Owner/ Lessee/Contractor as Agent STATE OF FLORIDA COUNTY OF `0i t�0 The forgoing instrument was acknowledged before me this 30 day of jq d+ f 120 `Z by .3 r� fA -e M JY rL Name of person making statement. Personally Known X OR Produced Identification Type of Identification Produced (Signatylre of Notaryfubtte Maury Public Stets of Florida Commission No. > v": Mafkp C=G 287539 -�40 Expires 04/21/2023 REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED ev. SignaturNof Contractor/License Holder STATE OFF FLORIDA COUNTY OF M AP -4 i �,_l The forgoing instrument was acknowledged before me this 30 day of ipn:r t 20 Z_0 by Name of person making statement. Personally Known NC OR Produced identification Type of Identification Produced (Si#te otary5;111�Notary Public Ssem of PurimCommission No. Mark D GI�fy Cornmi 287839R Expiraa 0412112023 SUPERVISORPLANS VEGETATION I SEATURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW