HomeMy WebLinkAboutBuilding Permit ApplicationAll: APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/08/21 Permit Nu
Building Permit Applia
n
.Planning and Development Services
Building and Code,Regulatipri Division Commercial Residential
2300,Virginia Avenue, Fort Pierce FL 34982,
Phone- (772) 462-1553 Fax- (772) 462-1578
PERMIT APPLICATIONelectrical
f1i I 06n
Address: 1820 s' btocksmith rd
Property Tax ID #: 2317-422-00107000-8 Lot No.
Site Plan Name: Block.No.
Project Name:
O,
DETAILED P,E!SCRlPT1ON.'OF--W, .R
add wining for enclosed rear porch including: 5 i10v recepi6clesi 4 switches, I ceiling fan,.4.
New'Electrica[Meter Second Electrical Meter —
1. exterior wall mount light
'CONSTRUCTION NFORMATIOW'�,",`
Additional work tob6 performed under this permit— check all that apply:
Mechanical Gas Tank Gas Piping
Shutters WindoWs/Doors Pondl
Electric Plumbing Sprinklers
Generator Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor; -
Cost of Construction: $ $1900 Utilities: Sewer Septic Building Height:,
OWNER/LESSEE
CONTRA.
Name steve wothers
Name. Daniel Stubbs
Address:1,820 S brocksmith rdi
Company-:skw Electric
City: ft. Pierce State:
Address: 501 w coker rd
Zip Code: 34945 'Fax:
City: ft.pierce State.
Phone No.3865666958
Zip Code:.34945, 11 Fax:
E-Mail:
Phone No 7724646466
Fill. in fee simple Title Holder I I on next page (if different
'.E-Mail stUboutele6ic@aoI.coM
from the Owner listed, alcove)
State or County Li&nse30071
If value of construction Is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is. $7,500 or more, a. RECORDED Notice of Commencement is required.
SUPPLEMENTAL
LIEN4LAW IN0=0RMATi IONN
.
DE&iGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
S
City.: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City;
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby madeto obtain a permit to do the work and'instaNition 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 contlict with any applicable Home Owners Association rules, bylaws ar and that
covenants 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 f Will, in ail respects, perform the work
in accordance with the approved plans, the Florida: Building Codes arid. St. Lucie Courity 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 twiceforimprovements
to you arproperty. ANotice 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 youe Notice of Commencement.
Signature of Co, actor/License Holder
Signature of'Own / Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF_ _ -1
STATE OF FLORIDA `
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or . Online Notarization
this day of -3A nv pt! .2026 by
Physical. Presence or, Online Notarization
thigs� day of. €nll. �1. 202A by
Name of person making statement.
Name of person making statement.
Personally�Known~``� Produced Identification
OR
Personally Known. OR Produced Identification
Type of Identification
Type of Identification
Pr duced
Produced.
('
(Signature of tart' Public- St
gnature o Notary Public-
are f Ronda
Notary Public State o
Commission No. 'ti � `�.(90* G Drawdy
�e+�u� No N1 Pil 5t; of Ftwidfi
,r `F 8Z G Graf
C mission No. ,K\���+
e My Comrriis�an GG 292585
Expires 02311/2023
a issto++GGaerses
��J'YL''
Expires u211112023
�
�"F
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE,
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.