HomeMy WebLinkAboutHorrocks Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/1/2021 Permit Number:
CC O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Temporary Power
PROPOSED IMPROVEMENT LOCATION:
Address: 13507 NW Coco Plum Ct.
Property Tax I D #: 4436 601 0028 0008
Site Plan Name: Harbour Ridge
Project Name: Michael and Cathy Horrocks
DETAILED DESCRIPTION OF WORK:
Temporary power pole for reconstruction services (House has fire
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential X
Lot No. 28
Block No.
Additional work to
be performed under
this permit— check
all that apply:
_Mechanical
_Gas Tank
_Gas Piping
_Shutters —Windows/Doors _Pond
_Electric
_Plumbing
_Sprinklers
_Generator _Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,400.00
Sq. Ft. of First. Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael and Cathy Horrocks
Name: David Daly
Address: 431 The Kingsway
Company: One Call Florida, Inc.
City: Etobicoke, ON Canada State: _
Zip Code: ON M9A 3W1 Fax:
Phone No, NIA
Address: 7804 SW Ellipse Way
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772-223-8400
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail lori@onecallflorida.com
State or County License EC13009446
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 CONSTRUCTION
LIEN LAW
INFORMATION:
,
DESIGNER/ENGINEER: Not
Name:
Applicable
MORTGAGE COMPANY:
Name:
✓ Nat Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: y Not
Name:
Applicable
BONDING COMPANY:
Name:
r Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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.
Inconsideration 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.
as Agent for uwnei
STATE OF FLORI A
COUNTY OF GfY'l�l li
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this2 day of rebnlorey 2&2B by
"vir'l l J7/v
1
Name of person making statement
Known � OR Produced Identification
Type of
(Signature
Commission
Signature of Contr
STATE OF FLORIDA
COUNTY OF
thi
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
s3 day of FPh/✓aly 2828 by
Ida yid h� A
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification,/,
(Signature
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.S/6/20