HomeMy WebLinkAboutPermit Application ALL APPLICABLE INFO MUST BE'COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
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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: 13940 ENCANTARDO CIR.
Legal Description: 617 34 39 all that part lying northeasterly of 1-95
Property Tax ID#. 1306-111-0001-000/0 Lot No.
Site Plan Name: SPANISH LAKES FAIRWAYS Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTI.ON'OF WORK: .
INSTALLATION OF =_ ELECTRIC METER SERVICE rt-06.�c tY-,ae t
CONSTRUCTION;INFORMATION:
itiona I worK to OGasTank
orme un er t is permit_c ec a _ appy:
HVAC ❑Gas Piping _Shutters Q Windows/Doors
ZElectric 0 Plumbing ❑Sprinklers E Generator 0 Roof
Total Sq.Ft of Construction: S Ft.of First Floor: -
Cost of Construction:$ 200.00 Utilities:oSewer I 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: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
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 LIEN LAW 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 TITLE HOLDER: 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 inspection.JLyou intend to obtain financing,consult with lender or an attorney be
commencin work of—rbg.Qrc1i6kvour Commencement.
(�Vo )aznL—_
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF 5 . f//m e e COUNTY OF S.. km c er
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�day of Ila N F 20 Eby this a day of TGe nrE 20 �by
ALAN WALTON 1 ALAN WALTON
(Name of person acknowledging) (Name of person acknowledging)
t
(Signature of Nota ub/lic-State of Florida) (Signature of Nota ublic-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
p;a- DOROTH �4Nry 1ASKIN Commission N
Commission No. �`r: GG 030145 '' OTHYANN
COMMIS .!F MYCOMMISSION#
EXPIRES:October 2.2020 a GG 030145
'ThNe!a '+ v`` FX
9ondw Thea Notary Public Underwrite s
Revised 07/15
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS