HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10- JJ -20
Permit Number:
' Ir
O
ru ° i 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: 1'39 2�9 e,.ico 0-4-
Property Tax I D #:
Site Plan Name:
Project Name: _&. pis
X
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Replace old exisiting meter center with a new meter/main combo panel. e,+ 13 q gg and 1y 0 U0 &eAr'd,
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
V Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction. $ 1,000.00
Sprinklers _ Generator
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Wynne Building Corp
Name: Christopher Jernigan
Company:Arc Master Electric LLC
Address:8000 US 1 Ste 402
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
E-Mail:beverly@spanishlakes.com
Phone N0772-708-9466
E-Mailchris@spanishiakes.com
Fill in fee simple Title Holder on next page ( if different
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:
uwlVtK/ CONTRACTOR RACTOR 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 RECORDING YOUR NOTICE OF COMMENCEMENT."
Z. -
Signature of Ow er/ Lessee/Con actor a ent for Owner
STATE OF FLORJD�4 w�
COUNTY OF _
The for oing instrum nt acknowledged before me
this- day of 2%j by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificati
Produced
(Signature
Commission 11114MOTrAIR
al)
W"E-� FLORIDAVro WLVG/al
Signature of Contractor/Licen
STATE OF FLOR
,�EJA
COUNTY OF.
The forgoing instru �e t as acknowledged b fore me
this day of ; 20y
Name of person making statement.
Personally Known � OR Produced Identification
Type of Identification
Produced _
ature
Commission
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