HomeMy WebLinkAboutBuilding Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
Address: 1810 NW BUTTONBUSH CIR
Legal Description: HARBOUR RIDGE -PLAT 7- BAYBERRY VILLAGE UNIT 4
Property Tax ID #: 4426-802-0007-000-1
Site Plan Name:
Project Name: Cathcart, Barry
Setbacks Front Back:
Right Side: Left Side:
Repair broken electrical pipe going to meter
F1HVAC
Electric ❑PlumbingOSprinklers G❑ Roof
Total Sq. Ft of Construction: 2,178 S Ft. of First Floor:
Cost of Construction: $ 800.00 Utilities:n Sewer Septic Building Height:
Name BDC Barcos Investment Corporation
Address: 1810 NW Buttonbush CIR
City: Palm City State: FL
Zip Code: 349990 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
"Shutters
enerator
Name: Sam Crane
Company: Sam Crane Electrical LLC
Address: 2618 SE Market Place
City: Stuart
Zip Code: 34997 Fax: _
Phone No. 772-223-8865
E-Mail: samcraneelectric@yahoo.com
State or County License: EC0001986
it value or consiruciion is :>L5uu or more, a RECORDED Notice of Commencement is required.
Lot No.
Block No.
❑ Windows/Doors
Roof pitch
State: FL
DESIGNER/ENGINEER: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
te:
Not Applicable
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 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 recording your Notice of Commencement.
.� s
Signature o Owne Lessee/Contractor as Agent for Owner Signature of Contractor/ ' ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF l\A cv COUNTY OF !A�y V \n
The forgoing instrument was acknowledged before me I The forgoing instrument was acknowledged before me
this _::�, day of <:_ )�,.� , 20 ?u, by this _�- day of , , 20 e- by
(Name of person acknowledging) (Name of person acknowledging )
k,_ � AldSin k U
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida }
e
Personally Known �' J OR Produced Identification
Type of Identification Produced
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. "11111" KAS9$ ) LSON Commission No.
3i° �� Notary Public -State of Florida
_' Commission # GG 938839
's�� {,°`; y ommission Expires
Revised 07/15 December 11, 2023
KAMatR!'/ILSON
Notary Public -State of Florida
Commission # GG 938839
y Uommission Expires
December 11, 2023
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