HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/5/2021 Permit Number: ' •�-b `� "
RECENE0 .__ .
Building:Permit Application_
Planning and Development Services - p �rnt�!� oepartnlQi�
1?uc�e�CCunt`!
Building and code Regulation Division' Commercial R2SId211tlal' :E
2300 Virginia Avenue,-Fort Pierce FL 34982--
Ph-one: (772)462=1553-fax:(772)462-1578 -
-PERMIT APPLICATION FOR: Electrical -" - "- --"
PROPOSED IMPROVEMENT LOCATION:
Address: 2601`N Us-Highway, 1,.L'ot35
Property Tax"ID-#: 1433-120=0010-000-5 Lot No.
Site Plan Name: Block No.
Project Name: <_ • . ' . _ •_
DETAILED DESCRIPTION OF-WORK:
Inspect mobile'home'for any heat or!fre�elat6d-damage'in"order'to reeriergize pedestais.'
New Electrical Meter Second Electrical'Meter ;
CONSTRUCTIONzINFO:RMATION ZV
Additional,work,tq be performed under this permit—check all that apply::.;'
_Mechanical ' _Gas Tank-- Gas Piping` _Shutters _Windows/Doors' =Pond-" `
f-Electric - _Plumbing Sprinklers- . Generator.--- -.._Roof, -•Pitch,
TotalSq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 265.00 _Utilities: —Sewer _Septic Building Height:.
OWNER/LESSEE #. CONTRACTORS°,
Name Ft Pierce Colony,l LC; - Name Enc Letoumeau
Addiess:295 Madison,Ave'FI 2 ' ", - Company:WirenutZ=lnc'
a ,
City• New York",'°`` = -':�,r,.•�z,r w-.:_ '`State:, Address 3504 Fontarieda Ave "
Zip Code: 10017 ,- _ Fax: City: Fort Pierce-_ State:FL
Phone No. ,Zip Cocle;,34947 Fax:
E-Mail: ' Phone N6-772 466 0500 =;
Fill in fee simple Title Holder on next page(if different E-Mail WirenutZinc@aol.com
from the Owner listed above) -' State or County License EC13005517 -
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.
I
S:UPPLEMENTAL.CONSTRUCTION LIEN-,LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: 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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a.permit-to-do the work and installation as indicated.
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 reviewyour-deedfor-any restrictionswhi&mayapply.
In-consideration of the granting of this requested permit,I do hereby agree that 1 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 mayresult 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 attorne -before-co mencin work or recording our-Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIQA-
COUNTY OF S LU C C COUNTY OF J `- L u,6 e
Swo{n to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
VV Physical Presence or Online Notarization Physical Presence or ` Online Notarization
this 3'� day of F66(W" ,202'by this r day,of f`-yC,0 d 20W by
N son making statement. 4meerson mak\ing�statement.
P wn OR Produced Identification ly OR Produced Identification
Type of Identification dent cation
Produced Produced
J • Notary Public Stale of Florida
(/ . Notary Public State of Fioride
(Signature of.Not c-Stah�nJrb,6osi�adG�e'5665- - (Signature of Nota a
,t� �� r/ ,G 185665
of Expires 02/26/2022.. Y
r Expires 02/26/2022
Commission No. Commission No. l
REVIEWS FRONT ZONING . SUPERVISOR PLANS VEGETATION -SEATURTLE MANGROVE
COUNTER REVIEW- • REVIEW_ REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.