HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
COUNTY
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 TYPE:
Address. 4851 BALD CYPRESS TRAIL FT PIERCE FL 34951
Property Tax ID #: 1418-133-0010-000-8 Lot No.
Site Plan Name: RYAN DOYLE & ANGELA DOYLE Black No.
Project Name: GENERATOR
IV W
INSTALL BACK UP GENERATOR
GAS TO BE PULLED SEPARATE
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: Sq. Ft. of First Floor:
Cost of Construction: $ 2400 Utilities: _Sewer —Septic Building Height:
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Name: ROBERT LILES
Name ROBERT LILES
Address:3347 SW 7TH ST
Company:CARIBBEAN ELECTRIC
City: OCALA State: _
Address:3347 SW 7TH ST
Zip Code: 34474 Fax:
City: OCALA State: FL
Phone No.352-351-1333
Zip Code: 34474 Fax: 352-351-8887
E-Mail:INFO@CARIBBEANELECTRIC.COM
Phone N0352-351-1333
Fill in fee simple Title Holder on next page (if different
E-Mail INFO@CARIBBEANELECTRIC.COM
State or County License EC13001938
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
City:
Zip: Phone:
COMPANY: _Not Applicable
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application 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 applicable 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, 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
'Tgnature of Owner/ Lessee/Contractor as Agent for Owner &
-SI nature of Co License Holder
STATE OF FLORIDA
STATE OF FLORIDAI,
COUNTY OF X&ri nr)
COUNTY OF /7 Ct/'7 ! YI
The forgoing instr�ment was acknowledged before me
The forgoing instru ent was acknowledged before me
thisfS-dayof20�s by
thisdayofCt'nU9;!`,/ .20?,0 by
06?4, - LI Les
Name of person making statement.
Name of person making statement.
Personally Known K OR Produced Identification
Personally Known �( OR Produced Identification
Type of Identification
Type of Identification
Produced 1�4�.�letary-Poblic Stete of Fbntla
Produced of Pio ida
Publk State
SamanthaCopeland
Rotan'
SamanthaCopelPnd
+� My Cwmlation GG 334013
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My Commissicc GG 354013
Expires OL112023
r- Expires 071112023
(Signature of Notary Public- tote o lori a)
(Sigrfature of Notary ub -
Commission No.5�5(&/3 (Seal)
Commission Noke-& 35(/Oi3 (Seal)
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Rev. 2///19