HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-7-2l
Permit Number:
Or LUC UL
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: 10 VeGrcl e_ u i fe4_
Property Tax ID #:
Site Plan Name:
Project Name: PemAn4rV (%L,17 V
DETAILED DESCRIPTION OF WORK:
X
Lot No.
Block No.
Replace old exisiting meter center with anew meter/main combo panel.( l O a' l2 I ,f,l p L/; do
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Mechanical
&C Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: —
Cost of Construction: $ 1,000.00
_ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp
Address:8000 US 1 Ste 402
City: Port St Lucie State: —
Zip Code: 34952 Fax:772-204-2180
Phone No.772-878-3011
E-Mail: beverly@spanishlakes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Christopher Jernigan
Company.Arc Master Electric LLC
Address:1660 SW Mackey Ave
City: Port St Lucie State: FL
Zip Code: 34953 Fax: 772-204-2180
Phone N0772-708-9466
p-m;lilchris@spanishlakes.com
State or County License ER 31751
If value of construction is 25o0 or more, a Kt1.UKUtu NOMA: U- - h- if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xA Not Applicable MORTGAGE COMPANY: ,?C Not Applicable
Name: Name:
Address: Address:
City: State: City:
Zip: Phone State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x4sc Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
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 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 our Notice of Commencement.
1' 11 1-- )_�1
Signature of ner/ Lesse ontrr as Agent for Owner
STATE OF FLO RQA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Pb4sical Pre s ce or Online Notarization
this V day of 2020 by
Name of person making statement.
Personally Known � OR Produced Identification
Type of Identification n
Producec0 /
ature of
Commission No.
REVIEWS I FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
Signature of Controor/Licens
STATE OF FLORIP*
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
?day
sical Presen or nline Notarization
this of 2020 by
Name of person making st�nt.
Personally Known OR Produced Identification
Type of Identification
Produced'1 n /117
roof N&Wa) (Sign
NOTARY PUBLIC
STATE OF FLOPA" Commission n
Comnl# GG2627W
ZONING SUPERVISOR PLANS I VEGETATION
REVIEW i REVIEW REVIEW REVIEW
NOTARY PUBLIC '
STATE OF FLOR al)
Uo_n_-FyX GG2627
SEA TURTLE I MANGROVE
REVIEW REVIEW