HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. 11-11- 20
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LI(a;NT'-O 'R I U A
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: a 1/ coke, 0 i ilx
Property Tax ID #:
Site Plan Name:
Project Name:
I DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Replace old exisiting meter center with a new meter/main combo panel. 6 9,3 H 7 , } y Verde_ (/,_Sf r,
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
_ Gas Tank
— Gas Piping
_ Shutters
_ Windows/Doors
_ Pond
* Electric
_ Plumbing
_ Sprinklers
_ Generator
_ Roof
Pitch
Total Sq. Ft of Construction:
Cost of Construction. $ 1,000.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp Name: Christopher Jernigan
Address:8000 US 1 Ste 402 Company:Arc Master Electric LLC
City: Port St Lucie State: — Address:1660 SW Mackey Ave
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 N0772-708-9466
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
..A
if value of construction is z5uu or more, a KCS-UMUrL/ IVULMC WN- - - -
ff value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:
MORTGAGE COMPANY: Y. Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: _t Not Applicable
Name:
Address:
City:_
Zip: Phone:_
City:
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 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."
i
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Signature of Ownei Lessee/Cont-for as Xfor Owner
Signature of Contractor/ icense HOI
STATE OF FLORI
COUNTY OF �� Ly�l�
STATE OF FLORID,,
COUNTY OF 07
The for ing instru nty�as acl now�edged before me
this�day of iJ 20 by
The for ng instrume t w s a k"Idbefore me
this day of �by
0_ ►ri 4Lj� Jer'rl f4ca
61%ri Sbee
Name of person rilaking statement. J
Name of perso makin statement.
Personally Known OR Produced Identification
Type of Identification
Personally Known OR Produced Identification
Type of Identificat on
Produced
Produced
X�"Kywld /ze
tate of Florida)
(Signature of Nota=SWldx3
Commission No. 09 MOC) O
VOIN014d0 31V1S
onand
(Si ature of to da )
08 O
Commission fft Seal)
0118nd A21VILON
REVIEWS FRONT�d P ZONING SUPERVISOR
COUNTER REVIEW REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.