HomeMy WebLinkAboutPermit AppAIIAPPLICABLE INFO MUST BE COMPLETED
Dare. 511912020
FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning ond Developntent Services
Building and Code Regulotion Division
2340 Virqinia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1,553 Fax'. (772\ 462-1.578 Commercial Residentia I
i PERMIT TYPE: Service Change
l PRoFosE
Address: 4711 Myftle Drive
propertv Tax lD #: 3402-608-0074-000-8 Lot No.
Site Plan Name:Block No.
Project Name:kane Reidence
i DETAILED DESCRIPTION OF WORI(::
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Qer,rrno (lhenna
Remove and replace Riser, wires in Riser, and Meier. Upgrade grounding system.
CONSTRUCTION I N FORMATION :
Additional work to be pertornred under this permit - check all that apply:
Mechanical Gas Tank _ Gas Piping
_ Sprinklers
Sh utters _ Windows/Doors
E lectric _ Plumbing -_ Generator Roof pitch
Sq. Ft. of First Floor:Total 5q. Ft of Construction:
Cost of Construction, S __125D. O(r Utilities: _ Sewer _ Septic Building Height:
ir\\A/NrtOWNER/LESSEE:t_:
513ms Stephen Kane Name: Kent Blosser
Address: 1437 Chobee Streel Company: Blosser Electric
r-it,, Okeechobee State:Address: POBox7305
Zip Code; ,34974 __ Fax:
phone No 863-801-1739
1^;1,,, Port St. Lucie State: FL
Zip Code: 34985 Fa x:
E-Mail ; stephenk03@earthlink.net phone 56 772-337-0055
Fill in fee simple Title Holder on next page ( if different
l from the Owner listed above)
r-Jy.i1 nrblosser@gmail.com
State or County 1;6gn5g EC1300-1570
CONTRACTOR:
lf value of HVAC is $7,500 or more, a RECORDED Notice of commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESTGNER/ENGINEER:
Name;
_ Not Applicable MORTGAGE COMPANY:_ Not Applicable
Name:
Address:Ad d ress:
State:City:State:Zip: _ phone Zip: ---_-=---_ phone:
rli trrvrpGltittfolDE*,- _ *;i AppGbb -Faruo,*c con*n*r,,_Not ApplicableName:rrqrrru. Nlrma.
A A A.^..,AUUI 855:Addrocc., ^sur LJJ,
I certify that no worl< or installation has comnrenced prior to the issuanc" "t, *i,-nii,
St. Lucre Countv makes nwrriin ii i. c"nflii'i"^iti ;?iTrfr:3JirT S3#Fb';fi!?ii:9"1[?,'Sif yfl";;lr:rre thepermit horder to buird the subject structure
structure. pteise ionsuti with'f oui Hdm; o;;";; A'!ociii,oi,'a"nb ru;i6;'J3[: fl.'iP"?%'.ii'..r?,tliJ#?]nlffitfiTr"jfJfrLilit such
ln consideration of the granting of this requested permit, ldo hereby agree that lwill, in all respects, perform the worktn accordance with the approved plans, the Florida Building codes rnJit. 1r.," county Amendments.
The following building permit applications are exempt from undergoing a fuil concurrency review: room additrons,accessory structures, swimming pools, fences, walls, signs, raruan iooru and accessory uses to another non-residential use
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STATE OF FLORIDA o,rcouNrY or fit. Ltr Cf e_
Signature of Owner/ Lessee/Contractor as qgent for Owner
Name of person making statement
Personally xno*n
-y(OR
procluced ldentification
Type of ldentification
Prod u ced
(Signature of Not
Conrmission No.
STATE OF FLORIDA
cour.rrv oi__ \t. Lrrr u €- _
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Personally Known r/ _ On produced ldentification- -: -rype ot tdenttf tcation
P rod uced
ZONING
REVIEW
SUPERVISOR
REVIEW MANGROVE
REVIEW
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Name of person making statement,
MY CoMMTSS^|oN # GG 970043
- ExPrREs! trFfli] r e. zozc
Bondod Thru Notarv Public UndeMriterE
{Signature of Not
Commission No.
Of FruJffU{'{ANSON
MY_CoMMtsstoN # GG 970043
,r,rKES(Elergh)l 6, 2024
lhru No6ry pubih Undsnfittatr
SEA TURTLE
REVIEW
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