HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: %- 4-2D
Permit Number:
17 U� ° ° p Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: c- C)c' -e-yi a Fh • Pierce ., Ft, 3 N 9 S 1
Property Tax ID #:
Site Plan Name:
Project Name: CQLA.n+ry LttA6 Ui I(4a,-
i DETAILED DESCRIPTION OF WORK:
0
Lot No.
Block No.
Replace old exisiting meter center with a new meter/main combo panel, d.A- a r+a( y 0 ey i c]
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 1,000.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp
Name: Christopher Jernigan
Address:8000 US 1 Ste 402
Company:Arc Master Electric LLC
City: Port St Lucie State: _
Address:1660 SW Mackey Ave
City: Port St Lucie State: FL
Zip Code: 34952 Fax:772-204-2180
Phone No.772-878-3011
Zip Code: 34953 Fax: 772-204-2180
Phone No772-708-9466
E-Mail:beverly@spanishlakes.com
Fill in fee simple Title Holder on next page ( if different
E-Mailchris@spanishlakes.com
from the Owner listed above)
State or County License ER 31751
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:
Name:
Address:
City:
Zip: p
one
FEE SIMPLE TITLE HOLDER:
Name:
Hadress:
City:
Zip: Phone:
X Not Applicable
State:
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State:
X Not Applicable
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.
Signature of O er.
STATE OF FLORID
COUNTY OF {J
Signature of Contr or/License der
STATE OF FLORI IA
COUNTY OF__ SS LDZj g
Sw to (or affirmed) and subscribed before me of '
Sw ,n to (or affirmed) and subscribed before me of
j�y� i�cal Prese a or Online Notarization P y ical Presenc or O line Notarization
th's �ay of 2020 by t is Day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced identifi
Type of Iden ification — Type of Identification cation
Produced, Produced /%
taignaiure or Nota PKAlic- State of Florida )
//Beverly J. Proske
Commissio
. NOTARY PUBLIC (Seal)
LORIDA
Comn* GG262780
Bxplrea /26 2
REVIEWS
FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
t for Owner
(Signatof N
Commission N
SUPERVISOR I PLANS I VEGETATION
REVIEW REVIEW REVIEW
BSt+ft 4ffl? a )
NOTARY PUBLIC
STATE OF FLOWh1)
Comp* GG262780
SEA TURTLE I MANGROVE
REVIEW REVIEW