HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f//
Date: Permit Number: �6 r 6//Sd
RECEIVED
Building Permit Application JUN-0 3 2020
Building and Development Services Code Regulation Division Permitting Department
y
9 9 Lucie County
2300 Virginia Avenue,Fon:Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
'PROPQ$E15 IMPROVEMENT LOCATION;
Address: 18 REFORMA
Legal Description: SECTION 261 TOWNSHIP 36s 1 RANGE 40e
Property Tax ID#: 3414-501-1701-00019 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
RET tbibtkkIPTION OF WORK:
INSTALLATION OF d ELECTRIC METER SERVICE C1�'n� 2✓VGz
6hin4
CO.NSTRUCTIO.N'.-INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
ZElectric O Plumbing OSprinklers O Generator O Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 200.00 Utilities.. Septic Building Height:
b
OWNER/LESS.EE: ': 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.
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 TITLEHOLDER: —NotApplicable 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 Countymakes 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 ancovenants 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
commencing work or recoTdin&-vo4P0M4mof Comme cemenk--,\
CS
Signature of Owner/Lessee/Agent Signa of Coactor/License Holde
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST WCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_dL day of !n."i e– 20 alaby thisoZ day of I'Zc'V4- ,20 ao by
ALAN WALT014 ALAN WALTON
(Name of person acknowledging) (Name of person acknowledging)
Y6 QIV. Acl�
(Signature of Not Public-State of Florida) (Signature of Not Public-State of Florida
\J
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 00R01", W BASKIN Commission N
UIUJKU N IN
03 145 THYA N BASKIN
—MY COMMISSION 20 my com 30
N
EXPIRES:October 2,20 COMMISSION#(3G03071451
11r'CO;VC10ber2,2020
aonded Toru Notary Public UrKk-nVJ'J"
Bonded ThfU Notary YUM Uflu':*' I i
Revised 07/15/
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS