HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
60
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: To Select from dropbox, click arrow at the end of line
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Address: 8571 Gallbegy Circle
Segal Description: Savanna Club Plat three blk 24 lot 8( or 3373-2471)
Property Tax ID #: 3425-703-0131-000-9 Lot No. 8
Site Plan Name: TANKE Block No. 24
Project Name: EVE TANKE
Setbacks Front Back. Right Side: Left Side:
Install new garage door outlet and disconnect 3-way switch
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F1HVAC
er t is permit - c ec a
Gas Piping
apply:
Shutters
❑Windows/boors
Electric
U Gas Tank
0 Plumbing
Sprinklers
Generator
01 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 540
Scl. Ft. of First Floor:
Utilities: 11 Sewer FISeptic Building Height:
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CONTRACOR.
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Name Evelyn Janke
Name: JAMES x WILLIAMS
Address:8571 Gallberry Circle
Company: ARLINGTON ELECTRIC
Address: 3251 SE DIXIE HWY
City: State: FL
Zip Code: 34952 Fax:
City: STUART State: FL
609-760-4104
Zip Code: 34997 Fax.. 772-287-2380
Phone No.
Phone No.772-287-1353
E-Mail: gregg@arlingtonelectricinc.com
E-mail: evetanke(cb-aol com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County license: EC 13007767
If value of construction is szsuu or more, a nKwnuw iduuLn V1 " - -'I-" --'
SUPPi,�M'�NTAI. CONSTRIJCTiQN�I�IEN`LA1N IN�Q�rMI�T•fQN�` } � �h `a� � x? � � ���`��` `
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: u Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or Installation has commenced prior to the issuance of a permit.
St, Lucie Count 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 CoMMepcement.
Y�:k
Si na re of Owner/ Lessee/Agent
STAT -OF FLORIDA MARTIN
COUNTY of
The forgoing instrument was acknowledged before me
this _____ day of 20 _by
JAMES-K WILLIAMS
(Name of person acknowledging)
(Signatur o ary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
ISTATE
f Contrac or/License Holder
FLORIDA
OFMARTIN
The forgoing instrument was acknowledged before me
this _ day of , 20 _by
JAMES K WILLIAMS
(Name of person acknowledging )
(Signature of a"J Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. Commission N n� ,"""��0i1j
J"tY P 4,, GREGG H ROBINSON ��"Y tPUe''
GREGG H ROBINSON
�8., °.', .`�; Notary Public -State of F!u' da
-Statne404
Commission # GG 033149
commission # GG 033149 =N• 'o`� M Comm. Ex ires Sep 25, 2020
• �c r Y p
Revised 07/15 , My Comm. Expires Sep 25, 2020 FOFF ���
OF F�o,� ''ttllt� Bonded through National Notary Assn
REVIEWS
Bonded through IWIIOndi
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SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
FRONT
COUNTER
ZONING
REVIEW
DATE
COMPLETE
INITIALS