HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
wLS
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 YES
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 8432 MUIRFIELD WAY PORT ST LUCIE, FL 34986
Legal Description: POD 27 AT THE RESERVE MUIRFIELD REPLAT LOT 27(OR 1441-2028)
Property Tax ID#: 3328-802-0030-000-7 Lot No.27
Site Plan Name: Block No.
Project Name: 8432 MUIRFIELD WAY
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL, NEW 15AMP DEDICATED CIRCUIT AND CIRCUIT EXTENSTIONS FOR 3 NEW GFCI
TO EXTEND POWER FOR NEW SHUTTERS
CONSTRUCTION INFORMATION:
Additiona I work to be ne.rformed under t ispermit—check all apply:
0HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
ZElectric Plumbing Sprinklers Generator F] Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1,149.71 Utilities:Cn Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JOHN KOVAL CAROL KOVAL Name: GEORGE G SANCHEZ JR
Address:8432 MUIRFIELD WAY Company: EXCEL ELECTRIC LLC
City: PORT ST LUCIE State:FL Address: 1391 SW BELLEVUE AVE
Zip Code: 34986 Fax: City: PORT ST LUCIE State:FL
Phone No. Zip Code: 34953 Fax:
E-Mail: Phone No. 561-408-0722 772-529-1091
Fill in fee simple Title Holder on next page(if different E-Mail: EXCELOFFICE77@GMAIL.COM
from the Owner listed above) State or County License: EC-13006483
If value of construction is$2500 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: Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 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 ins . If you intend to obtain financing, consult with lender or an attorney before
commencin work or r or ur Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCRE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1sT day of OCTOBER 20 zo by this 'sT day of OCTOBER 20 20 by
GEORGE G SAN6HEZ JR GEORGE G SANCHEZ JR
(Name of person acknowledging) (Name of per acknowledgin
(Signature of otary Public-State of Florid ) (Signature of Nota Public-State of Florida)
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GG946316 rs�, ( *public State ofRome mmIS510n NO. GG9A6316
`r r Notary Aubhc State of Florida
Ashley Simlamany ;� Ashle 5irrilam2n
e My Commission GG 946316,, Y Y
sires or Expires 02/16/2024
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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