HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST $E COMPLE71=D FOR APPUCATION TO BE Af�EPTED
Date: :51=420 Permit Humber:
Building Permit Application
Pfa,ming -cmd Dev&gwnarr 5-�
Bt0dfng and Code Reguiladaft Orwin n Com rn�,-rCia I
23W Yrragrr6a AvEnue, Fart Pmwce ILL 34W2
Phone, (772) 462-15S� Fax: (77.z)462-3578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT PROVEMtENT LOCATION:
Addr-essz 18 KILJJLR N EY AVE :) r f
Property Tax I D #: 3144
Site Kan Narne:
Project Name:
I .D ETAI LED DESCRIPTION OF WORK:
R eplace el ectrical panel I ike for ii ke (electrical panel only)
New EI e-ari rat Mutur Second E lectrica I PSI Pter
CONSTRUCTION INFORMATION:
Ad ditiional work to be perfouned unc er this perm it - check all that apply_
Re5id e n:tlal
Lot No. 9
Block No. 137
_Med-ianical _- Gay Tank _ Gas Piping _ Shutters _ Wirr1ows/011m's _ Pond
Eludxiic _ Plumbing — $prinider: _ i3ener- for _ Roof L'it[tl
Total Sq. Ft of Comiruc#rgn_
Cest of Camstru cdon_ -� O& ,
Sq. Ft- oi First Flog:
Utilities: _ S-wer '-ptic Bu i Iding Height:
NER/LES JEr
Name Qtjoguaya Sw L LG
Acktress: 117 NW Willow G rx e AVE
CRY: Port & Lucie sr.,t: f
Zip Coyle: 34-986 Fax:
E44ail:
Fill ip fee Simple Title Holder on next page ( If dit
Rant th& ENvreer Emd -above)
CONTRACTOR:
Name: Jorge F Granadil b
Company- G na Electric & AJC
A res; 307S SW Ann arbor Fld
City_ ?SL -- -- State- R t-
zip Codle: 34953 Fax=
Phone No 342-471 a
E-Mai1 granad!IID69[fyahoo.corn
ff value of construction is 25M or more, a RECORI)IIED Wig 0 C*w�eremcM is. rcqu kl:d.
If value of HAVG Rs;$7,5W or rriGre, a RECORDED Notice of Corrunencenwerx ds rNu Fred -
UPPLEPA ENTAL CONSTRUCTION LI E N LAW I N FOR MATION:
DESIGNERIENGINEE R: Not Applicable
Elaine;
Address: - - - —
Cit%r: State, —
Zfp; Phone
FEE SIMPLE TF LF HOEDIER= [plot Applicable
Name. -
Ad d ress-
- -
Ci#y'-- _ --
zfp: Phone;
MORTGAGE COMPANY: Hat Ap pl I cable
Na rne=
Address:
City: —state --
Zip: P horse
BONDING M PIANY: _Ncr# ApDI irable
Nam-e:
A�Jdi ens;
City_ — -
Zip: _ Phone:
OCONTRACTOR WFIDVIT_ Application is hereby made to obtain a permit to do the wDrk arrd insta f Aiq)n as indicated -
I certify that no work or fnstailation has commented prior tv the issuance of a picrmit.
St. Luce Countr makes nG representation that is grantirm a perrnik win ;Iukhori�e the parmLt holder xa build the subject structUTC!
whirls is in co mul with any a ppiicable Home owners Pssvciabon rulers, bylaws or and covenants that rnayr r%e9lxk1 -or prohibit sud-.
-Wuctum. Pleow oor*uft mM "r Home "m Autniation and review your deed for a nyr restrictions which may apply..
In mrisidleration of the granting of this requested permit, I do hereby ;agrCe that I wil 1, it, 011 fesp.e l:s, perform the work
in accordaftce with the approved plans, the Florida Ildiding Codes and St Lucie Eou" Ani endmens*-
The follpwing build ing permit appiimtions ore. exempt from undergoing a full canoumencyr review: room addition'
acne s'a " s jai cs, YMmming pvolsr fences, wall% stns, x+' roomy and accessory uses to another non-residential uw
WAFM M TO OWNER: Your failure to Furl a NfstifL!�- of Cornmencanw-nt may result in paying twice for
imprvwe menu to your proIertY. A NQtire of 1: rDmmerrcem-� rA rn ust be recorded f n the pull f-c r ecor& of St.
Lucie County and posted -on the jobsite before the fi rst ins pection. If you i rite nd to obtain firm ncingr consu It
with I ende r or a n attarne before ccimmi� nci work -o r recocd f ng your Not c w mencaement.
Signature of Owner of as Agent for [.7wner
STATE OF FLORIDA
IvOUNTY OF -� (4�C.L`
5wor �or *Hirm t d I ¢nd vkwrf bed before me 4F
P seal Present o r Online Notarization
this 2& day of ?a2G by
Nam 0& P&kn making s'.atern ent.
Persanalty Known �OR Produce Identification
l ype of Idlentifr<�aTion .x
Produced_ 1.%
(Signagure of Notary Publi
• JL F 1RL,<;hc1LLO
s
Slate a r Flo, ida-hlu lacy Pub
fiammission No. _ siu� * -GG 7777d'
My Q j--ra*ion Expos
fWdpmt*r ZZ, 2022
REVIEWS FRONT Z0'NCNG
COUNTER I REVIEW
DATE
DATE
COMPLETED
Signature of Contracta€r l"i * Holder
STATE OF FLORIDA
COUNTYOF '2=4 1%r t�-T
Sw In for affirm Pd f and subscribed before rfte of
P sicaI Presenre r Online Nitarizv ho-n
th is day ofOQ by
Nome of Orsorrmaki � . ent.
pr�rsohaljyr rcno Produce 1 - cation
Type of Iden4 io�'C n ti
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SU PERVL QR I PLANS VEG ET,�TI ON I 5EA TURTLE ;0AN-GK E
REVI E W REVIEW f�F1{f �4rJ RBI EW REVIEW