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HomeMy WebLinkAboutBuilding Permit Application17 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C560 I - © 7 Date: 7/13/2020 f} QvY� Permit Number: � �^-�°� JUL 14 2020 9• if 7FI WO. W �= Building Permit Applicatio V. Lucie County, Permitting Planning and Development Services - BuildingandCodeRegulationDivision Commercial Residential x 2300 Virginia Avenue, Fort Pierce F134982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:New Electdcal box PROPOSED IMPROVEMENT LOCATION: Address: 3221 River dr Property Tax I D #: 2430-502-0059-000-6 Site Plan Name: Project Name: New Electrical Box DETAILED DESCRIPTION OF WORK: New electrical box and having the power lines buried underground New Electrical Meter x Second Electrical Meter Additional work to be performed under this permit— check all that apply: Lot No.59 Block No. _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: $ 3 30 n�- Utilities: _Sewer _Septic Building Height: OWNER/LESSEEi 'CONTRACTOR: Name Minh -Tam A Frye David Frye Name: Address: 3221 River Dr — Company: Address: City: Fort Pierce State: _ Zip Code: 34981 Fax: Phone No.310 895.4414 City: State:_ Zip Code: Fax: Phone No E-Mail:Fryeguyl3@hotmaii.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail State or County License 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 Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone Address: City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ of Applicable Name: BONDING COMPANY: _Not Applicable 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. Lurie 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 attornev before commencine work or recording your Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA b COUNTYOF • lf_ COUNTY OF Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of P sical Pres nc or Online Notarization this day of 2020 by Physical Presence or Online Notarization this day of 2020 by , S VIL1 _ Name of person making stat m�i ent. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification if7 Type of ]dent tion Type of Identification Produced Produced (Signature to Public- State of Florida) (Signature of Notary Public- State of Florida ) /o KAREN S. NIEIFN Commissi a% r 6 'da-Nora lic Commission No. (Seal) y u s 'c" Commission p GG 207484 M o Ju a 12, 2022 REVIEWS PERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.S/b/ZU