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HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCMED Date: Permit Number: 2004-0509 `rs 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: Electrical PROPOSED IMPROVEMENT LOCATION: Address: 6599 LILA CT. Legal Description: 617 34 39 all that part lying northeasterly of 1-95 Property Tax ID#: 1306-111-0001-00010 Lot No. Site Plan Name: SPANISH LAKES FAIRWAYS Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: METER MAIN COMBO AT 6599 LILA CT. CONSTRUCTION INFORMATION: j Additional work toe e orme under this permit—check a appy: HVAC Gas Tank E]Gas Piping Shutters a Windows/Doors ©Electric ❑Plumbing Ll Sprinklers Generator ] Roof Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 200.00 Utilities:n Sewer FISeptic 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: I E-Mail: Phone No. (772)539-1574 Fill in fee simple Title Holder on next page(if different E-Mail: ftoridastateele@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. SUS 'A CONSTRUCTION LIEN-LAW INFORMATION NGRAESt 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: ! r certify that no work o 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 Assouation 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 pians,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 WARMING TO OWNER Your failure to Record a Notice of Commencesrmnt 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 to obtain financing,consult with lender or an attorne commencing work or recording o otice of Commencement. S _Signature of Owner/Lessee/Agent Signature of Contra License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST,k'c t r COUNTY OF <-7-. " Cee The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20y this -L-)of J u 20 by c ALAN MLTON i ALAN wAi3aV i {Name of person acknowiedging} (Name of person acknowledging) (Signature of No ry ,ublliic-State of Florida) (Signature of No ublic-State of Florida} Personally Known `� OR Produced Identification Personally Known OR Produced Identification Type of identification Produced_ Type of Identification Produced Commission 4V DORCT'-.YAN N 1 Commission I —My CO AISSIOti"GCS 3145 v'NY AN J c t _ MYCOMMISSiQN1GGv30'�5 EXP iRE S:Ociooel 2.2020 _ 4 RL'ViSNd 07 :f 5VtiJw ThN vcary?1t6c i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE ' MANGROVE COUNTER REVIEW REVIEW REVIEW % REVIEW REVIEW REVIEW DATE I COMPLETE INITIALS