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,Fon:Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 6547 TERESITA
Legal Description: 617 34 39 all that part lying northeasterly of 1-95
Property Tax ID#: 1306-111-0001-00010 Lot No.
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED.DESCRIPTION OF WORK:,
INSTALLATION OF ELECTRIC METER SERVICE ���:`���11 r�'►�
CONSTRUCTION.INFORMATION:
AC I clitional work to be ertorme under this permit—check a fj,appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
®Electric 0 Plumbing Sprinklers 1:1 Generator E]Roof
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 200.00 Utilities:[]Sewer Septic Building Height:
'OWNER/LESSEE 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:FIL 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
Fill in fee simple Title Holder on next page(if different E-Mail: floddastateele@gmail.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.
SUPPLEMENTAL CONSTRUCTION LIENLAWINFORMATION:.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE BOLDER: x 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 inspect' . If you intto obtain financing,consult with lender o n attorney before
commencing work qpreOrd'Rg yoa Wotice of Commencement. A
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s
Si ature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Ste'. C.o r" COUNTY OF S r: LAA C4 i
The forgoing instruct was acknowledged before me The forgoing instrument was acknowledged before me
this Q day of J to tv d 20 Eby this a day of -I—L.,-fit- 20 34 by
ALAN WALTON ALAN WALTON
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic-State of Florida} (Signature of Nota ublic-State of Florida)
Personally Known -' OR Produced Identification Personally Known 11""' OR Produced Identification
Type of Identification Produced Type of Identifica ' e
r-- ' DOROTHYANN BASKIN �'•'�i<'• DOROTHY N B SKIN
Commission No. I °�^ Commission No. '"� e
oMMISS(694G 030145 OMMISSI 030145
EXPIRES:October 2,2020 i Qti+r EXPIRES:October 2,2020
•��'f�3'�:r cUnderwtiters BondedThruN P
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS