HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7 )
Permit Number:
O4o LACE
O
D 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: (a g Go I r Dr
Property Tax ID #:
Site Plan Name:
Project Name: Swn i"� L ue5 �--
DETAILED DESCRIPTION OF WORK:
9
Lot No.
Block No.
Replace old exisiting meter center with a new meter/main combo panel. (9 i , % A 14 '74 G o if D r
New Electrical Meter
Second Electrical Meter,
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical
9 Electric
_ Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond
_ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 1,000.00
_ Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
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
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-Mailchris@spanishlakes.com
from the Owner listed above)
State or County License ER 31751
if value of construction is 2500 or more, a RECUKUtU Notice or %.orrunen%.n1ncnL .a I a%i A c.e.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:c Not Applicable
L
e:ess:
State:
Phone
FEE SIMPLE TITLE HOLDER: xe Not Applicable
Name:
Address:
City:
Zip: Phone:
DWNER/ CONTRACTOR armnxiM A 1:
MORTGAGE COMPANY: x K Not Applicable
Name:
Address:
Uty: State:
Zip: Phone:
BONDING COMPANY:
Name:_
Address:
City:_
Zip: Phone:
.Not Applicable
- . •rr- • . 11 UY 1110UV w vUiam 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of ner/ Lesse orytr r as Agent for Owner
STATE OF FLO A
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
PhkAsical Pres 16ce or Online Notarization
this day of 2020 by
vame or person making statement.
Personally Known
Type of Identificatior
Produce
nature of
Commission No.
V OR Produced Identification
REVIEWS I FRONT
COUNTER
DATE
RECEIVED
DATE
E
COMPLETED
4fa )
NOTARY PUBLIC
STATE OF FLOW
Camp GG262780
ZONING
REVIEW
Signat
STATE OF FLORI
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presen or Qnline Notarization
this day of ° 2020 by
Name of person making st�nt.
Personally Known _
Type of Identification
ature of
Commission N
SUPERVISOR PLANS I VEGETATION
REVIEW REVIEW REVIEW
OR Produced Identification
OF FLORIDA a I )
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SEA TURTLE � MANGROVE
REVIEW REVIEW