HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO P
MUST RE FOR APPLICATION TO Of ACCEPTED
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Date: Permit Number: In
RECEIVED
Building Permit Application JUN 0 .1 ?n',
Planning and Development Services
10, Permitting L)
Building and Code Regulation Division St. Luci,
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED
P S1EPIN APROVEMENT, OCATION:,:1.-
Address: 10,14,16$,18 GOLF DR.
Legal Description:.SECTION 26/TQVVNSHIP 36s I RANGE 40a
Property Tax ID#: 3414-501-1701-000/9 Lot No.
Site Plan Name: SPANISH LAKES ONE Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED'DESCRIPTION;OFWORK:
-
INSTALLATION OF I ELECTRIC METER SERVICE
VnMC4, 5-"Ce co r" w
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CONSTRUCTION 0N]NIFORMATION:
Additional work tobe nertormed under this permit—check laffapply:
0HVAC 13 Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric El Plumbing []Sprinklers Generator Roof
Total Sq.Ft of Construction: SFt of First Floor:
Cost of Construction:$ 800-00 Utilities: Sewer ElSeptic Building Height;
�.OWWNER/LtSS- tE: '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: flo6dastateele@gmail.com
from the owner fisted above) State or County License: 27267
U value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:. ' -
DESIGNER/ENGINEER:
NFORMATION:. _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 t btain financing,consult with lender or an att9PIP4b
com cin work or record' o r Ice ommencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S--r- k.,4 c eF COUNTY OF 9-,-, "Ge 6,
The forgoing instrument as acknowledged before me The forgoing instrument was acknowledged before me
this A day of 7 Le iv E 20 Eby this__;I day of 'Tiw me 20 c3l�by
ALAN WALTON l ALAN WALTON
(Name of person acknowledging) (Name of person acknowledging)
—6.Q\ :Q� 1v 13ala'&
(Signature of Not u/blic-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
Commission No. i :?�� ''t DOROTHY �4SKIN '°:' DOROTHYF(1¢J@� KIN
GG Commission No. �•
I MY COMMISSI N G 030145 i�? .?�1rCOMMISSION GG 030145
EXPIRES:Oct0, '2020 `,� EXPIRES:Ocfober2,2020
•8o+beC ru Notary u ry otery ublie Underwriters
Revised 07/1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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INITIALS