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HomeMy WebLinkAboutBuilding Permit Package ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: g Building Permit Application Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue,Fart Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION- _ _ Address: 97 Ni �� �- a I L-V I) Legal Description: Property Tax ID##: { , ( l"� !O ©l — _ _ -- Lot No. Site Plan Name: Block No_ Setbacks Front Back: Right Side. Left Side: DETAILED DESCRIPTION OF WORK— PE-PLACE SEAV10E PE—b I S /� FOB 7-6 o r- -30AMP J_C��� 1 - 5�A t� �q0 V i— i/C�6�� CONSTRUCTION INFORMATION Additional work to be nertormed un der t is perkt—check a apply: ❑HVAC Gas Tank Gas Piping 1:1_Shutters Windows/Doors Electric 0 Plumbing OSprinkiers El Generator E]Roof C� Roof pitch Total Sq.Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ Utilities Sewer Septic Building Height: ..OWNER/LESSEE- Name i4 r2 f.S 7 Y K A LO GE& Name: ARTHUR ENGEi MANN Address: F'tbc-e-sTo1J& Pakg [ Company. ACCURATE ELECTRICAL CONTRACTING, INC City: LYPII�E SS state:Tk Address: 7193 GULLOTTI PLACE Zip Code: 7 7Lt3_�) Fax: City: PORT ST.LUCK State-FL Phone No. ?�� �loZ`�— �q�� Zip Code: 34952 Fax: E-Mail: Phone No. 772 878-9171 Fill in fee simple Title Holder on next page(if different E-Mail: ACCURATEELECTRICPSL@OUTLOOKCOM from the Owner listed above) State or County License: ECOOD3072 if value of construction is$200 or more,a RECORbEI}No ice of Commencement is required. SUPPLEMFNTAL CONSTRUCTION:LIE LAW.WFORMAT[ON. DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name:X:UHURENGFLJ.%NN Address: Address: City: State: City: PORT ST_LUCIE State: Zip: Phone Zip_ Phone. FEE SIMPLE TITLE HOLDER: �Not Applicable BONDING COMPANY: Not Applicable Name: Name: Add reSS'_7193 GULLOTn PLACE Address: city: City; Zip: Phone: Zip: Phone, 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 covenantsthat 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 pasted on the jobsite before the fir inspection. If you intend to obtain financing, cons with lender or an attorney before commencin ork or rec ire our Notice of Commencement. ul — - 4 41� Signatu of Owner/ see/Contractor as Agent for Owner Signature of Contr or/License Holder STATE OF FLORIDA STATE OF FLORIDA� COUNTY OF a COUNTY OF The for ping intro ent was acknowledg d before me The forgoing in mstru nt was acknowledged before me this 7 day o U2 201 4 D by this_�g_:day of 2i6� by Name of person makfng statement Name of person K,6king statement Personally Known /— OR Produced Identification Personally Known -'�-- R Produced Identification Type of Identification Type of Identification Produced lll1111h1!// Produced ® loll G. {Signature of rotary Pub" -Stat of q&ii j * (Signature of Notary Public-Stfte of j_orida Commission No. - (Saot37t'�7 Commission No. (Sear•r '• o w - i OGG 137101 SW REVIEWS FRONT ZONI IVERVISOR PLANS VEGETATION SEA TURTy!fill �E COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW W DATE RECEIVED DATE COMPLETED Rev.8/2117 Arthur Engehnann Licensed&Insured ECO003072 AcCURATE ELECTRICAL.CONTRACTING Offl se:772-878-9171 I= 772.W 2SU �p .� _ FPL