HomeMy WebLinkAboutSLC.Permit App.12387 Orange Avenue.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/01/2021 Permit Number:
ePCO)TY,
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 12387 Orange Avenue
Property Tax I D #: 2308-412-0000-000-6 Lot No.
Site Plan Name: Block No.
Project Name: -_ zr� ,j-s Po we, o /e-
DETAII�LED DESCRIPTION OF WORK:
ii
L 5-ILL 2 /� IA ✓ S 1 Y7 ! G77` O 17 t-tp —...— O J D
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
X Electric ____ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 300.00 Utilities: —Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DBE Management Inc.
Name: Joseph E. Herndon Sr.
Address: 13387 Bryan Road
Company: Jne's Electric of St Lucie Cnty., Inc.
P
City: Loxahatchee State: F-L
Zip Code: 33470 Fax:
Phone No. 561 345-0302 Rex Cole
Address: 1206 Bell Avenue
City: Fort Pierce State- FL
Zip Code: 34982 Fax:
Phone No 772 465-2363
F-Mail: rcole@dbeutilityservices.com
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
E-Mail Des ilS / C V rn
State or County License 5-G )3 00 7�2 G 3
a varue or consErucuon rs z.Suu or more, a HLLUKULD Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: x Not Applicable
Name:_
Address:
City:
Zip:
Ph
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:,_
State:
X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
X Nat 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 receding your Notice of Commencement.
Signature of O w r/ L see/Contractor as Agent for Owner
STATE OF FLORIDA i
COUNTY OF St Lucia
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this day of Frbruary 2020 by
Name of p� kin�tement.
Personally Known OR Produced Identification
Type of Identification
Produced
9
(Signature of N ry Public- State of Florida )
Commission No. Notary�)5tateafFlorida
j° Randolph McDaniel
My Commissian GG 352355
!cerise Holder
STATE OF FLORIDA
COUNTY OF StUde
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 1 day of February 2020 by
4 s 4X
Name of per on making statement.
Personally Known _L�< OR Produced Identification
Type of Identification
Produced
(Signature of NotaK Public- State of Florida)
Commission N �*',*Notjirybiic Stalepi�ah McDan%. M1ission GG 352355
A1117f')M7
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Lori Bender 12:00 PM
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Ftgl% Lori Bei
Hello All - New Site
Address for Parcel
number 2308--412-
0000-000-6 is
12387 Orange Ave
Please use this
email address
gis@stlucieco.org to
respond to any
address requests.
Thank you
12412 Page 1 of 249 .Tyl Reply instantly id,
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