HomeMy WebLinkAboutBuilding Permit ALL_.APPLIEABL€INFO If�UST SE COMPL�9D FOR APPOC-ATION TO Be ACCEPTED
Date: Permit Number: _266(a— d 1(
F,-- MQK ME RECEIVED
[Building Permit Application-o
n
JUN 0 3 *0
Planning and Development Services Permitting DeparLmc,,
Building and Code Regulation Division St. Lucie Counry
2300 Virginia Avenue,Fort Pierce FL 3.4982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
;PROPOSED IMPROVEMENT LOCATION:
Add rens: 85&.87 LAS CASITAS
Legal Description: EAST 1/2 OF SECTION 1 -TOWNSHIP 348-RANGE 39E
Property Tax ID#: 1301-111.-00011-000-5 Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
'DETAILED DESCRIPTION OF WORK: -
INSTALLATION OF-1 V ELECTRIC METER SERVICE On -e- 0�4- Ori
S44"-e ('V)e*e , C4YY%bo Fe-us-1 &I'4"Y&k,/
'CONSTRUCTION CNFORMATION: -
itiona wor to e e orme uncler this permit—check Ill[ appy:
❑HVAC 0 Gas Tank. L]Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 400.00 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: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.
:SUPPLEMENT ALMNSTRUCTION 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 inte d to obtain financing,consult with lender or an att re
commencing work r e 0 o of Commencement.
S
_Signature of Owner/Lessee/Agent Signa ure o ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S T. " c t r COUNTY OF ST k"Gd
Theforgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this a day of —:rL' ev C 20 Eby this 29day ofJ u 20 as by
ALAN WALTON 1 ALAN WALTON
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic-State of Florida) (Signature of Nota blit-State of Florida)
Personally Known ✓/ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
,'•:?y'• DOROTHYANN BASKIN - ti DOROTHYANN
Commission No. = ,B`r OMMISS � �G0301a5 Commission � t: �
My Cuum
ISSION# G 030145
EXPIRES:October2,2020 - EXPIRES:October 2,2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS