HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PCPtlrC? I�IPI{1/MET LOCTIC}N�" w
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Address: 5303 D FR Rl1N DRIVF
Legal Description: Holiday Pines S/D Phase III Lot 454
Property Tax ID #: 1313-502-0031-000-1
Site Plan Name: _N/A
Project Name: THOMANN
Setbacks Front Bach:
Right Side:
Replace rusted out underground FPL riser
Left Side:
Lot No, Ci Sy
Block No.
Additional work to be Dertormed under this permit —check all app�-__
1]HVAC L_1 Gas Tank E]Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq, Ft. of First Floor: n
Cost of Construction: $ 1500.00 Utilities: Sewer [Septic Building Height:
i"
Name nARY 181 THOMANN
Name: JAMES K WILLIAMS
Address: QU 3 C)R-C,V- �� �v2
Company: ARLINGTON ELECTRIC
City: FORT PIERCE State: FL
Address: 3251 SE DIXIE HWY
City: STUART State: FL
Zip Code: 34951 Fax:
Phone No. 772-643-1127
Zip Code: 34997 Fax: 772-287-2380
Phone No.772-287-1353
E-Mail:
fill in fee simple Title Holder on next page { if different
E-Mail: gregg@arlingtonelectricinc . com
State or County License: EC 13007767
from the Owner listed above)
IT value or construction rs :�150U or more, a RECORDED Notice of Commencement is required.
E
pESIGNER ENGINEER:
Not A licable
Nat Applicable
Name:
Address:
Address:
City:
State:
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:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with ]-rider or an attorney before
commencing work or recording your Notice of Commencement.
_ Sign�jure of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
this _LS:: day of 7� k 1 > 20 Eby
JAMES X WILLIAMS
(Name of person acknowledging)
(Signature ofr4dary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No.
s
Sig44ure of Contractor License Holder
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
this _L day of, J �- )J 20 2L by
JAMES K WILLIAMS
(Name of person acknowledging)
c�
— _A� (Signature ry Public- State of Florida j
Personally known X OR Produced Identification
Type of Identification Produced
Commission No.
;'k�r °�
Ore GREGG H R08INSON o eL.GREGG H ROBINSON
Notary Public •State of Florida Notary Public • State of Florida
4oF!e" My Comm. sExpires Nov 1, 2024 OFF` My Comm. Expires Nov 1, 2024
Revised 07/15/201 Bonded through National Notary Assn. Bonded through National Notary Assn.
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