HomeMy WebLinkAboutBuilding Permit (2) ,1 LL APPLICABLE INFO MUST BE COMPLETED FOR APPIJCATION TA BE ACCEPTED
Date: Permit Number: 2004.0471
Building Permit Application
Planning and Development Services
Building,and C,otle Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSEDa,MPRQVEMENT LOCATION _=
Address: 15 AZUL
Legal Description: EAST 1/2 OF SECTION 1 -TOWNSHIP 34S-RANGE 39E
Property Tax ID#: 1301-111-0001-000-5 Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OFWORK
METER MAIN COMBO AT 15 AZUL
CONSTRUCTION INFORMAT11-
ION
Additional work to be nerformed under t ispermit—check all tbat,appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 200.00 Utilities:cnSewer 0Septic Building Height:
OWN€R/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)$7&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 fisted above) State or County License: 27267
N value of construction is$25W or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not nFFfiEaE MORTGAGE COMPANY: _ Not Applicable
Name:
Zip: _Phone:
FEE SIMPLE TITLE HOLDER: __ Not Applicable
Name:
Zip:_ Phone:
BONDING COMPANY: _Not Applicable
Name:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permir to do the work and instaliation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no representation that is srantins a oermit will authorize the permit holder to build the subiect structurewhich is in conflict with anv a'pplicable Home Owilers Asiociation rules. bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult With your Home Owners Association and review'your deed for any restrictions rrrihich may apply.
ln consideration of the granting of this requested permit, I do hereby agree that lwill, 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 NOTTCE OF COMI}IENCEMENT MAY
T}YICE FOR IMPROYEMENTS TO YOUR PROPERTY" A NOTICE OF COMMENCEMENT
RESULT IN YOUR PAYING
MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO AtN FINANCING, CONSULT
WITH YOUR RECORDING YOUR NOTICEAN
Signature of Ownerl 'Contractor as Agent for Owner
STATE OF FLORI
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of
Personally Known v/ OR Produced ldentification
Type of ldentification
Produced
person making statement.
Public- State of Florida )
STATE OF FLORIDAO /] , .
COUNTY OF Nza-) 2L L"r c, 'f
The forgoing instru acknowledged before me
this ZZudaV of
Name of person making statement.
Personally Known t OR Produced ldentification
Type of ldentification
ry Public- State of Florida )
p0RoTHY 48UA,}SKIN
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RECEIVED
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:a
Name:
Address:
City:
Address:
City:
Add ress:
Citv;
Zip: _