HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:,
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65 33
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: 47&49 MONTOYA -� ,
Legal Des iption: EAST 112 OF SECTION 1 -TOWNSHIP 34S-RANGE 39E
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1301-111-0001-000-5
Property Tax ID#:: Lot No.
Site Plan Name: COUNTRY CLUB VILLAGE Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: j
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METER MAIN COMBO AT 47 & 49 MONTOYA
CONSTRUCTION INFORMATION:
Additional wor to e ertormed un er this permit--check all tbat app y:
HVAC Gas Tank LIGas Piping _Shutters Q Windows/Doors
10 Electric Plumbing Sprinklers I Generator F] Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 400-00 Utilities: 11 5ewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name WYNNE BUILDING CORP. Name: ALAN WALTON
Address:8000 SOUTH US HWY. 1 -SUITE 402 Company: FLORIDA STATE ELECTRIC
City: PORT ST. LUClE 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 i
Fill in fee simple Title Holder on next page(if different E-Mail: floridastateeie@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.
PPLEMENTAL CONSTRUCTION UEItii-LAW INFORMATf0i,
DESIGNERIENGINEER x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name.-
Address:
ame:Address: Address:
City: State: City: State:
Zip: Phone: j Zip: Phone:
7
FEE SIMPLE TITLE HOLDER*. X Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
city: may:
` 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,!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
WARNWG TO OWNER Your fadwe to Record a Notice of Conunencenumt 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 attorney before
commencing work or rKordiolg vourKbticerecord' of Commencement"
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_Signature of Owner/Lessee/Agent Signature of ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
C04.1INTY OF S "c r i�'- COUNTY OF S,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of J_�r iv GS 20�v by thisS day of WE 20 -Lo by
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ALAN WALTON l j ALAN WALTON
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Tic-State of Florida)
Personalty Known OR Produced Identification Personally Known OR Produced Identification
Type of identification Produced Type of Identifi
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DATE
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