HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' ,;L I
Permit Number:
Or aUCats
o
g ° ° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: S CL 'Pori=` L^
Property Tax ID #:
Site Plan Name:
Project Name: �� N��'F:a ✓L�'
DETAILED DESCRIPTION OF WORK:
Ranlare old exisitina meter center with a new meter/main combo panel.
New Electrical Meter Second Electrical Meter,
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical
-$ Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 1,000.00
X
Lot No.
Block No.
—Gas Piping _ Shutters _ Windows/Doors _ Pond
—Sprinklers _ Generator — Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNE-R/LESSEE: CONTRACTOR:
NameWynne 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@spanishiakes.com Phone N0772-708-9466
Fill in fee simple Title Holder on next page ( if different E-Mail chris@spanishlakes.com
from the Owner listed above) State or County License ER 31751
if value of construction is zsuu or more, a RG\.Vnwrc
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: 9L Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: ?C Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
of 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 n 'd
on -rest ential 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
I with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of ner/ Lesse Contra as Agent for Owner
STATE OF FLORI
COUNTY OF 1� I
Savor (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 ,, /7
Signature of Contr ctor/Lice a Hol
1
STATE OF FLOR��1
COUNTY OF
Sworn (or affirmed) and subscribed before me of
P�ysical Pres r Online Notarization
this 0 day of 2020 by
Name of person making statement.
Personally Known / OR Produced Identification
Type of Identification
Produced/7 n
Jalgnature or
t Stlatesb6 Florida )
OTARY PUBLIC
—
(Si nature of No StaJte of f Florida )
Commissi
STATE OF FLORIDA (Seal)
rosm
Commission NOTARY PUBLIC
. Corm*GG262780
(Seal)
FLORIDA
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REVIEWS
FRONT ZONING SUPERVISOR
COUNTER REVIEW
/2022
PLANS VEGETATIONxpI SEA TURTLE MANGROVE
DATE
REVIEW
REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
,07576/20