HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
June 17 2020 �—_-- -2
Date: Permit Number <j 4 r; <, `
'o U JUN 2 _� 202.0
r - Building Permit Application , i
Planning and Development Services i 1
Building and Code Regulation Division Commercial Reslde.ntial----X-==-
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: After the fact permit for existing electrical wiring by others.
:PROPOSED IMPROVEMENT LOCATION:
Address: 3211 SUNRISE BLVD
Property Tax ID#: 2428-601-0046-00019 Lot No. 48
Site Plan Name: Block No.
Project Name:
:DETAILED DESCRIPTION OF WORK:
INSPECT ELECTRICAL WIRING INSTALLED BY OTHERS AND CORRECT ANY ITEMS THAT ARE NOT ACCORDING TO CODE.
( ken ave ti a 6 --�c r 3
New Electrical Meter Second Electrical Meter
.CONSTRUCTION I NFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical —Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
/Electric Plumbing Sprinklers _Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 1,600.00 Utilities: _Sewer _Septic Building Height:
`OWNER/LESSEE: CONTRACTOR: .
Name KOORONA LLC Name: JAMES W LAW
Address: 805 VIRGINIA AVE. SUITE 16 Company: LAW'S ELECTRIC INC.
City: FORT PIERCE State:_ Address: 218 BEACH AVENUE
Zip Code: 34982 Fax: City: PORT ST. LUCIE State: FL
Phone No. Zip Code: 34952 Fax:
E-Mail: Phone No 772-9714512
Fill in fee simple Title Holder on next page (if different E-Mail ALAW43@AOL.COM
from the Owner listed above) State or County License 2098
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: + Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: ,Not Applicable
Name: Name:
Address: Address:
City: City:
Zip. Phone: ZIP: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and Installation as indicated.
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.Lucre 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
aVYARNING 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.TOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
�ature of Owner/Lessee/Contractor as Agent for Owner S' ature of Contractor/License Holder
STATE OF FLORIDA /JJ ` STATE OF FLORIDA
COUNTY OF r�I r �.l�C� :0— COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instr ent was acknowledged before me
this /?day of '&4 20 --P by this�2 day of _ ,20,"by
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Name of person making statement. Name of person making statement.
Personally Known �l OR Produced Identification Personally Known l OR Produced Identification
Type of Identification Type of identification
Produced Produced
{Signature of li-yj - �da) I(Signatu g STATE QF FE.aR o STATE OF FLORIAA
Commission -�i� 2780 (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REMEW REVI M! REVIEW REVIEW -i3ijvjREVIEW
DATE
RECEIVED MOUHI a3Nd38e -LIn:)»:)oz
DATE 319rIOG dWb 009 1-19nou „ £ dAV00 On
COMPLETED
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