HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7- I (c 20
Permit Number:
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 39 EI Camino Real
Property Tax ID #:
Site Plan Name:
Project Name: 5Tani S h L0-1es
DETAILED DESCRIPTION OF WORK:
Remove existing faulty meter center with a meter/main combo at 39,41,43, and 45 EI Camino Real
New Electrical Meter Second Electrical Meter
Lot No.
Block No.
CC#NSTRtICTION INFORMATION: 7-1
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ l 1.000 , uo
Generator
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNERf LESSEE:
CONTRACTOR:
Name Wynne Building
Name: Christopher Jernigan
Company:Arc Master Electric LLC
Address:8000 US 1
City: Port St Lucie State: _
Zip Code: 34953 Fax:
Phone No.
E-Mail:bevedy@spanishlakes.com
Address: 1660 SW Mackey Ave
City: Port St Lucie State: FL
Zip Code: 349532 Fax:
Phone N07727089466
E -Mail chris@spanishlakes.com
State or County License ER31751
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
I Zip: Phone:
FEE SIMPLE TITLE HOLDER:
-— 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. 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 Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 recording our Notice of Commencement.
t
Signature of ner/ Lessee/Con &tor s Agent for Owner Signature of Contra or/License Hof r
STATE OF FLORID3� / �� STATE OF COUNTY OFORID��
COUNTY OF (�1J
Sto (or affirmed) and subscribed before me of Sw to (or affirmed) and subscribed before me of
P ysical Prese ce r Online Notarization Pa�h""ysical Pre se ce Online Notarization
this day of f , 2020 by this Cw day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known ' OR Produced Identification
Type of Identification Type of Identification
Produced Produced
1
(Signature of Not y Kt arida) (Signature of y pYfj��c Ida )
;=USUC,, ` STATE OF FLORIDA
Commission FLORI al) Commission G262780 (Seal)
>; mm# GG262780 Expires 9126/2022
u
Expires -/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.