HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,)
Date: I! Permit Number: / ^n,-,%
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• Building Permit Applic tion APR 21 2020
Planning and Developme tServices
Building and Code Regula ion Division Permitting i.1=i-,Uri..mer
2300 Virginia Avenue, For Pierce FL 34982 St. Lucie. County, FL
Phone: (772) 462-1553 `Fax:(772)462-1578 Commercial Re idefntial --- X= --
PERMIT TYPE: Ele�CtriCal
PROP„OSEgIM_ PRO,UEMENTLOCATION
Address: 6690 N Us Higftway 1
Property Tax ID #: 1406-i 12-0005-000-8 Lot No.
Site Plan Name: i Block No.
project Name: Fasnacht �,esidence
Newservice 1 J1jbJili:Y, *
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•CONSTRUCTIONINFQRMATION:;�� �' e.-•:' ,,,F, ','��=l-fl-V7":;
Additional work to be pe formed 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 Construct' n: Sq. Ft. of First Floor:
Cost of Construction: $ -7 a o �� Utilities: _ Sewer —Septic Building Height:
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OWNER/LESSEE:
Name Grover and Debra
Address:5009 Lace Avel!
City: Fort Pierce
Zip Code: 34982 -
Phone No.
E-Mail:
Fill in fee simple Title Holder
from the Owner listed
Fasnacht
Name: Vance Carpenter
Company: Carpenter Electric
I State: _
I i Fax: NIA
Address' 133353rd ST -
City: West Palm Beach State: FL
Zip Code: 33407.Eaz:,N. /A
PhoneNo561-508-5315'
on next page ( if different
Bove)
E-Mailccothran@carpenter-electric.com
State or County License EC-0001273
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 olrjmore, a RECORDED Notice of Commencement is required. OS
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SU PIEMENTAL CONSTRUCTION
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DESIGNER/ENGINEEpr.
Name:
Address:
City:
Zip: Phone
_ Not Applicable
L
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
it State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HO
Name:
Address:
City:
Zip: Ph
PER: _ Not Applicable
!
BONDING COMPANY: _Not Applicable
Name:
I
Address:
I f
City:
he:
Zip: Phone:
OWNER/ CONTRACTO AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or ins allation has commenced prior to the issuance of a permit.
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St. Lucie County makes no r presentation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assocletlon rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult wih your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the appi ived plans, the Florida Building Codes and St. Lucie County Amendments.
The following building perrr+it applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimTIng 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 IMPROY MENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JO SITE BEFORE THE FIRST INSPECTION. IF YQ�INTEARS TO OBTAIN FINANCING, CONSULT
WITH XOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOURRI]NbT OF COMMENCEMENT."
1
Signature of Owner/ Less
'e/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FL!R /]
COUNTY OF_ SF11 N (
LULL l
COUNTY OF /T�X/YY7�
a a knowledged before me
202D by
The forIoing instr e t
this) day of
The for oing instru nt was dclp owledged efore me
this day of . 20 y
GV
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Name of person making
3,ement.
Name of person makin statement
Personally Known
OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identifica ion
Produced VU I)DProduced
0
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(Signatu a of Notary ((ii,Ye ,re 61LOEi44FN D DANFORTH
(SignatturM ofNotublic- State of Florida)
P
ec Notary Puniic-State of Florida
Commission No. ,,•::a°t?:"•••. kg@le'i�Buno
Commission No. _ Commimeoq# GG 291405
�- MY COMMISSIU.J 9 GG 203296
a: My Commission Expires
1'�i1or
EXPIRES: May 20 2022
no°c
����� February 28,2023
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