HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10 - t 20
Permit Number:
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: I Li 69 lei eP.& C+ -
Property Tax ID #:
Site Plan Name:
Project Name: &L- wo yS
DETAILED DESCRIPTION OF WORK:
W
Lot No.
Block No.
Replace old exisiting meter center with a new meter/main combo panel. A; – I y 3 Oro 19 37.5
pi. 0-e b- ,
New Electrical Meter Second Electrical Meter.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction. $ 1,000.00
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
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
Address: 1660 SW Mackey Ave
City: Port St Lucie State: _
Zip Code: 34952 Fax:772-204-2180
City: Port St Lucie State: FL
Phone No. 772-878-3011
Zip Code: 34953 Fax: 772-204-2180
E-Mail:beverly@spanishlakes.com
Phone No772-708-9466
Fill in fee simple Title Holder on next page ( if different
E -Mail chris@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: 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:
UwivtK/ LUN I KAC:TUK 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECnRniNr. Yni iR iunTIM nr rnmurmrrmicarr "
Signature of Contr tor/Licens ;061de ,_.-'
Signature of Ow er/ Lessee/Con ctor a fent for Owner
STATE OF FLOR", /
COUNTY OF I i L(J��
STATE OF FLOR
COUNTY OF 1_ff14� 1
��j
The for oing instrum nt knowledged before me
this day of 2Q,/ by
tru
The forming insa as acknowledged b fore me
this day of 20My
Name of person making statement.
Name of person making statement.
Personally KnownOR Produced Identification
Personally Known OR Produced Identification
Type of Identificati
Type of Identification
Produced
Produced
F
( ignature of blit ggfa )
(Signature o t r u_b 'c-Sat-oTFlleorida )
NOTARY PUBLIC(
Commission c . FLORIDA al)
NOTARY PUBLICS )
Commission No OFFLO
Comm# GG262780U
Comm# GG262780
1
/2022
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VEGETATION
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MANGROVE
COUNTER
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