HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
2/5/2021
Date: Permit Number: ` O ( '
o
Buildin .P'ermit Application -
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Planning and Development Services .. ST. Lucie County;Permitting:
Building and-Code Regulation Division COfYIIllet'CIBI " '` '` ' ' Residential .X
2300 Virginia Avenue,Fort Pierce FL 34982 -- - - - - -
Phone:(772)462-1553-fax:(772)462-1578 -
PERMIT APPLICATION_FOR: Electrical - - - -
PROPOSED IMPROVEMENT LOCATION:
Address: 2601.N Us-Hidhway1;t6t 26.. .
.1433=120-0010=000-5: - •f. - ... .• ••: . �_ . ,. , . .. _ _ ... ,__ . .
PropertyTax ID4. Lot No.
Site Plan Name: 'Block No
Project Name:
DETAILED DESCRIPTION OF'WORK:"
-Inspect mobile home for.any heat.or fire_related-.damage,in order to reene�&d pedestals:'
New Electrical Meter Second Electrical Meter '
CONSTRUCTION INFORMATION,
Additional-work:to be'performed under,th,&permit• , check all that apply:
Mechanical --Gas-Tank Gas'Piping _Shutters ' ""''Windows/Doors Pond
_f Electric-- ___.. . -_Plumbing . - _Sprinklers Generator... _._ Roof_.. , Pitch..
Total Sq. Ft of Construction: -Sq. Ft.of First Floor:
Cost of Construction:$ 265:00 - Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: , ', .. , CONTRACTOR:
NameFt`Pierce Colony:L-LG;' :` ;; ;`.fir;-- . Narri'e:Eric-Letoumeau :Add Madison`Qye FI 2, Company:WirenutZ;lnc
City:'New,:York•:,` te:_ Address:3504 ftntaneda
Zip Code: 10017 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34947 _ Fax:
E-Mail: Phone N67.72 466 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
SUPPLEMENTAL: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 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 recording our Notice'of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �'`I- 1 U Ci c COUNTY OF S4- L_u C
Swarn to(or affirmed)and subscribed before me of Swprn to(or affirmed)and subscribed before me of
J Physical Presence or Online Notarization v Physical Presence or Online Notarization '
this S6day of pG( I\uory by this I gday of F—C6�,�r`r ,2GW by
wet zozl
Name of person making statement. Name of person making statement.
Personally Know OR Produced Identification Pe:rs�o�nalnoj'caj OR Produced Identification
tion Typion.
Produced Produced
G Notary Public State of Florida (n/j Notary Public State of Florida
(Signature of Nota -�St G-185665 (Signature of Nota -fit r � �
' awe Ex res02126/2022 '34 p � 2 165665
Commission No. -� c*- Aires 02/26/2022
Commission No.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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