HomeMy WebLinkAboutBuilidng PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a"21 Permit Number:
Or 1111cQW
0 � _ Building Permit Application
Planning and Development Services
Commercial Residential X
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 1Villa. 'Del (1%r}4..
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name: + .' �1
DETAILED DESCRIPTION OF WORK:
Replace old exisiting meter center with anew meter/main combo panel. 1 ( �/; I In Az I Ala ,-& .
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
I Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,000.00 Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Wynne Building Corp
Name: Christopher Jernigan
Address:8000 US 1 Ste 402
Company:Arc Master Electric LLC
City: Port St Lucie State: _
Address:1660 SW Mackey Ave
Zip Code: 34952 Fax:772-204-2180
City: Port St Lucie State: FL
Phone No.772-878-3011
Zip Code: 34953 Fax: 772-204-2180
E-Mail:beverly@spanishlakes.com
Phone N0772-708-9466
Fill in fee simple Title Holder on next page ( if different
E-Mail chris@spanishiakes.com
from the Owner listed above)
State or County License ER 31751
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:
Name:_
Address:
City: —
Zip:
Phone
Not Applica
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: j? Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: r Not Applicable
Name:
Address:
City:
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.
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 ner/ Lesse Contra as Agent for Owner
STATE OF FLORIDAr
COUNTY OF_luej 1
Swor (or affirmed) and subscribed before me of
Ph sical Prese e r Online Notarization
this day of 2020 by
Name of person making statement.
Personally Known / OR Produced Identification
Type of Identification
Produced ,
re of
Commi
Stftsh# Florida )
OTARY PUBLIC
STATE OF FLORIDA (Seal)
Corrxr* GG262780
REVIEWS `i FRONT
i COUNTER
DATE
RECEIVED
DATE
COMPLETED
;ev.
ZONING
REVIEW
Signature of Contr ctor/Lice a Hol
STATE OF FLORI ��
COUNTY OF
Sworn (or affirmed) and subscribed before me of
Physical Pres r Online Notarization
this day of 2020 by
Name of person making statement.
��
Personally Known OR Produced Identification
Type of Identification
Produced/) n
(Signature of No irC- State of Florida )
J. Proske
Commission NOTARYPUBLIC (Seal)
FLORIDA
C___ - ' GG26278o
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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