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HomeMy WebLinkAboutBuilding Permit ALLAPPLJCAI3LE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED lip Date: Permit Number: /� C) b � 0 l RECEIVED Building Permit Application JUN 0 3 2020 Planning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie county Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Electri ,al �PROPOSED_IMPROVEMENT LOCATION: Address: 5 VERA CRUZ Legal Description: EA $T 112 OF.SECTION 1 -TOWNSHIP 34S-RANGE 39E Property Tax ID#: 1301-111-0Q01-(300-5 Lot No. Site Plan Name: COUNTRY CLUB VILLAGE Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED QESCRIPTION OF WORK: INSTALLATION OF I 4 ELECTRIC METER SERVICE ;CONSTRUCTION":INFORMATION: Additional work to be Derformed under this permit—check a appy: HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors ©Electric 0 Plumbing Sprinklers D Generator Roof Total Sq.Ft of Construction: S .Ft.of First Floor: Cost of Construction:$ 200.00 Utilities:llSewer 0Septic 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: floridastateele@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. SUPPLWEN TALCONSTRU;CTION.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. If you intend to obtain financing,consult with lender or an atto7ey, efore commencing work or reGQrding your Notice of Commencement. 9 aQ_�XM0 (a� J - - _ S _I¢jgnature of Owner/Lessee ent Signature Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Ste-- diet COUNTY OF ST- tlu.Q ce e Theforgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this oday of Vu evtF 20 aRby this 91- day of J,N C 20 ►J by ALAN WALTON 1` ALAN WALTON (Name of person acknowledging) (Name of person acknowledging) L_J�Q.� av"' /43 a4_�_ a_v" A�Sa4_�- (Signature of Nota ublic- tate of Florida) (Signature of Notary blic-State of Florida) Y Personal) Known OR Produced Identification Personally Known tl�OR Produced Identification Type of identif Type of Identification Produced :d DOROTHYA Commission N my C( S�G030f45 Commission No. '' ;c: JOROT �f�IBASKIN t ��r EX RES:060 0112020 �';�MYCOMMI�SIOaNKGG030145 IV,ye;o• Bv&-dThniNOWYPaawur>def"'ters EXPIRES:October2,2020 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INMALS