HomeMy WebLinkAboutPermit 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 Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 87&89 GRANDE CAMINO WAY
Legal Description. EAST 1/2 OF SECTION 1 -TOWNSHIP 34S-RANGE 39E
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
-DETAILED DESCRIPTION.OF WORK:
INSTALLATION OF ELECTRIC METER SERVICE
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CONSTRUCTION.INFORMATION:
�dclltional work to flasTank
orme un ert ispermit—c ec a appy:HVAC ❑Gas Piping _Shutters Q Windows/Doors
®Electric ❑Plumbing []Sprinklers Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 400.00 Utilities:0 Sewer Septic Building Height:
OW,NERAESSEE; . CONTRACTOR:
Name WYNNE BUILDING CORP. Name: ALAN WALTON
Address:8000 SOUTH US HWY. 1 -SUITE 402 Company: FLORIDA STATE ELECTRIC
City: PORT ST.LUCIE State:FL Address: 751 16TH AVE.
Zip Code: 34952 Fax:(772)878-7656 City: VERO BEACH State: FL
Phone No.(772)878-5513 Zip Code: 34962 Fax:
E-Mail: Phone No. (772)539-1574
FII in fee simple Title Holder on next page(if different E-Mail: floridastateele@gmaii.com
from the Owner listed above) State or County License: 27267
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
`"SUPP_LEMENTAL CONSTRUCTION LIEN IAW INFORMATION:.
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: ' State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commenci work or_recorclingifbNotice of Commencement.
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Signature of caner/Lessee/Agent Signature of tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUcrE
The forgoing instru�!pt was acknowledged before me The forgoing instrument was acknowledged before me
this o1 day of J U NC% 20 Eby this a day of 7T.d ii E 20 a-* by
ALAN WALTON� ALAN WALTON
(Name of person acknowledging) (Name of person acknowledging)
G `
(Signature of Not6a Public-State of Florida) (Signature of Notq9Public-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. z: °s' DOROTH PASKIN Commission N h.•r: a,;�� nnROTHYAN �M N
MY COMMISSION 1 GG 030145 MY COMMISSION#GG 636145
EXPIRES:October 2,2020 r'�F
Bonded Thry Notary Pubbe Urtoerwaiters I '.?'tc';;' Bondw ThN �lic U
Notary PutnEw
driters
Revised 07/15 L
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS