HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/27/2020 Permit Number:
�M. LU(MC
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR:Joan Gray
Address: 3120 N. A1A unit 1503
Property Tax ID #: 1425-610-0144-000-2
Site Plan Name: Tiara Towers
Project Name: J1603
Fort Pierce FI 34949
Installing fans on the back porch and recessed lighitng in the kitchen
New Electrical Meter Second Electrical Meter,
Additional work to be performed under this permit— check all that apply:
Me nical _ Gas Tank —Gas Piping _ Shutters
lectric _ Plumbing —sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 1 1Qo
NameJoan Gray
Address:3120 N Hwy A1A unit 1503
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors — Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
City: Fort Pierce State: _
Zip Code: 34949 Fax:
Phone No.4342494451
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:Steve Courtney
Company: Courtney Electric
Address:9035 Americana Road Ste. 15
City: Vero Beach State: FI
Zip Code: 32966 Fax:
Phone N07725626048
E-Mail Steve@courtneyelectric.com
State or County LicenseEC13006555
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.
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. 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 Commencernentwo result in payi ice for
improvements to your property: A Notice of Commencement m e recorded in th pub ' records of St:
Lucie County and posted on the jobsite before the first ins ec ' If you intend to obta' fina cing, consult
with lender or an attorneybefore commencing work o rec our Notice of Comme ce ent.
Signature of Owner/ Lessee/Contractor as Agent for OwnergNat{+i° Contractor/License
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF I l RVyC'J�
Swpprn to (or affirmed) and subscribed before me of
7- Physical Presence or Online Notarization
this 11!n dayof,2020 by
Name of person making statement.
Personally Known 41 OR Produced Identification
Type of Identification
Produced
Signature of Notary Publi - State of w*) MICHELLE J. DEA
Commission # GG 15
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Commission No. �acpiresOctober 22,;
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SUPERVIS
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