HomeMy WebLinkAboutpermit app for 17 Spanish WayAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date- I I -17 - ^20
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: 1 ? rtii ,% �A
Property Tax ID #:
Site Plan Name:
Project Name:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: ..I
Replace old exisiting meter center with a new meter/main combo panel. @ 1-2 - 1011 + Al Smr, i c k
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 _ 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:
NameWynne 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@spanishiakes.com
Phone N0772-708-9466
E-Mail chris@spanishlakes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License ER 31751
- J
If value of construction is 25uu or more, a Ktt.UKLJCIJ IMUMC V1•� �-+-•• -
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
Name:
MORTGAGE COMPANY: )G Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:_
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 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."
r
Signature of Ownegf Less ee/Contr for as AgPIffor Owner
Signature of Contractor/ icense Hol
STATE OF FLORI
COUNTY OF__ L (JGl
STATE OF FLORID4L J
COUNTY OF 0 /
The for ing instru nt was ack ow dged before me
this/7—day of iJ �20� by
The for ng instrum t w s ackno�frl�d a before me
this _day of �' a �1(/z �Y by
0hri s4nn -&- n (.
_ er J�rr1i 1
Name of person n1aking statement. i
Name of pers'oh mpkinstatement.
Personally Known OR Produced Identification
Type of Identification
Personally KnownOR Produced Identification
Type of Identificat
Produced
Produced
(Signature of Notar - tate of Florida)
daRlOIJ d0 3
Commission No. ORLZ9zon�I;ZO
(Sig4ature of to da )
Commission � Seal)
Onand AHV10N
REVIEWS
FRONT
COUNTER
NING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.