HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Plerce 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
15.
t�+Yrs _
Y
Address: 5040 Watersong Way
Legal Description: Watersong PUD PLAT NO ONE PB 42-34) LOT 74( OR2241-2803)
Property Tax ID#: 2532-500-0088-000-5 Lot No. 74
Site Plan Name: Eidemueller Block No.
Project Name: Fidemulier
Setbacks Front Back: Right Side: Left Side:
- wo"
Lv. ' -�y�.viiI _
Remove rusted out meter can and replace with new aluminum meter enclosure.
X� s•_ i Y' O•„{(
T Additionalwork to 13-Gas
ee'r orme un er t is permit--'c ec a appy:
HVAC I�1 Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
13 Electric 0 Plumbing -[]Sprinklers FiGenerator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1945 Utilities: Sewer OSeptic Building Height:
F�!1 � .KY� � 9i� 4'�'?ir•K���SIFia �yh.� i __r•�Y+ Vy����.�� «
WET
Name Mark & Stephanie Eidt-mull _r __ Name: JAMES K WILLIAMS
Address:.5040 Watersong Way Company: ARLINGTON ELECTRIC
City: Hutchinson Island State: FL Address: 3251 SE DIXIE HWY
Zip Code: 34949 Fax: City: STUART State: FL
Phone No. 1-954-304-1861 Zlp Code: 34997 Fax: 772-287-2380
E-Mail: _ PhoneNo.772-287-1353
"fill In fee simple Title Holder on next page(if different E-Mail:gregg@arlingtonelectricinc. com
from the Owner listed above) State or County License: EC 13007767
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
�. 2 r ,a
0M
'Ra
^,L fait A VON
h _?fir, )'i h i.$''G.rc: ^si .'s ...5 )_ F� ni' `•`�ilnF=.
DESIGNER/ERGINEER: Not Applicable MORTGAG.EfiOMPANY: Not:Applieabfe
Name: lV'ame,-
Address: Address;
City: State:. City:. Stale; -
zip: Phone:
Zip: Ph
on+r.:
FEE SIMPLE TfTLE HOLDER: —Not:Applicable; BONDING COMPANY: _Not Applicable
Name: dame:
- -
Address: Address:, _
city: - City:
Zip:: Phone: ZIP; Phbrie: --
I certify"that no worlcor Installation:has commenced prior do the,issuance of permits
St,Lucie County make no;repre e t.tion that granting.a permit will:authorize the ermit holder to build the subjects ructure,
Which is in conflict wit any pica i?,Home owners Association rules,bylaws or-ahs; that may.restrict or pro�lbit such
structure.Pleaseconsultwit, 'y,"ourHomeownersAssociationandreviewyoardeedfora rtyrestrictions,whlch-mayapply
In consideration of the granting of this requested permit,[.do hereby agree that i will,. n all respects,perform the work-
in!
orkin accordance with,the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permif applicaltions are exempt from undergoing a full concurr•.ency-review:room additions;
accessory structures,swimming pools,fences;walls,,signs,screen rooms and accessary uses to another non-resldentlal use
WARNING TO OWNER;Your failure taRecord a Notice of Commencement may result In your paying twice.for
improvements to your property,A.Notice Of COM mencemant 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
-commencing o our Notice of COMM cement. _
11' natura.of Owner]Eessee/Agent Si - ure of Contractor/LicenseHolder
TE OF FLORIDA . ST TE OF FLORIDA
COUNTY OF MARTIN COUNTY OF MARTIN
The-forgoing instrument was acknowledged before•me. The forgoing instrument'was acknowledged before me
this�dayof 1RN1_c.-cr___ 20 6y thisLkdayof _W) Nt�{ ,20 by
JAMES: GVILLIAMS. JAMES K WILLIAMS
Name of person acknowiddging) ( tame of person acknowledging)
(Signature f taryPublic-State of Florida)
(Signature of. otary public-State of Florida.)
Personally Known X. OR Produced Identification Personaity Known X OR Produced Identification
T,ype'of Identification Produced Type of Identl4cation Produced
Commission No (Sealy Commission No,
— , �. GREGG H RQ81N5f)N
- nnu GREGG;H�RORIDF
:�a "�e'�
}teviseel Q115/ 1�Y;�ar-°"Bhr Notary:Public•State,af Florida
.Nota6y Public=Stat __ Commission#GG 033149M�,�(,Comm.Eftp res SY omm xpires a 2 020�K' F�. � i nal t bREUIEINSN ,�;, ; Z(3t3i �ii#ought+�lPLAINS IEVIEW-
DATE b. h'f : . OVf
REVIEW 1E
GQMPLETE_
INITIALS