HomeMy WebLinkAboutst lucie county johnsonAll APPLICABLE��JFO MUST;COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
4
Building Permit Application
Planning and v opment Services
Building and C Regulation Division
2300 Virginia A te nue, Fort Pierce FL 34982
Phone:(772) -1553 Fax: (772) 462-1578
Commercial Residential
PERMIT AP
(CATION FOR:Electric for FPL
latteral replacement
PROPOSED
IMPROVEMENT LOCATION: - - �-
Address: 2410 10
la//keridge dr palm city f! 34990
Property Tax ID
#
7� 5 ` 76Z- 600ig- 666—CS Lot No.
Site Plan Name
!
hnson Block No.
Project Name: JApnson
DETAILED
Replace FPL
New Electrical
RIPTION OF WORK:
conduit to meter can due to corrosion
Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional we
_Mechan
Electric
Total Sq. Ft of
Cost of Constr
be performed under this permit— check all that apply:
_ Gas Tank —Gas Piping _ Shutters _, Windows/Doors Pond
Plumbing _ Sprinklers _ Generator _ Roof Pitch
truction: Sq. Ft. of First Floor:
,, $ 700.00 Utilities: —Sewer —Septic
Building Height:
OWNER1,14
SEE:
CONTRACTOR:
Name
Address: 2-
City:
Zip Code
E-Mail:4
Phone JOr
Fill in fTitle
from t
� cS 4w1se
Name: Ffx=�s .. o eW�
Company 14*r giead _ae_
Address: ,OK32 -5!57 �ugci��o
City:'P 6't , U)dJ a State:
Zip Code: x14CI A Fax:
Phone No 5,(P
E-Mail���eic
State or County License 13 00
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State: :L.
Fax:
q' gt15 - /& 09
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Holder on next page [ if different
listed above)
if value of consctiion is Z500 or more, a RECORUtU Notice of c.ammencemem Es requereu.
If value of fiAV 1 $7,500 or more, a RECORDED Notice of Commencement is required.
_
µDESIGNER/E
apt
�2 2 iu.'�!�S .
v%
,x.- ;s ,. ,,..✓' ' r.
INEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
City:
Zip:
Address:
City:
Zip: Phone:
State:
State:
Phone
FEE SIMPLE
I LE HOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
City:
Zip:
City:
Phone:
Zip: Phone -
OWNER/ CO CTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no i vc rk or installation has commenced prior to the issuance of a permit.
St. Lucie County n 3kes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in confli ft with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please c 3nsult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration oi the granting of this requested permit, l do hereby agree that I will, in all respects, perform the work
in accordance w the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following bilting permit applications are exempt from undergoing a full concurrency review: room additions,
accessory struct r s, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TC OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improven ients to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Cou ity and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lendi r or aq attorney before commencing work or recording our No 'ce of Commencement.
Signature of C
STATE OF F
COUNTY OI
SW
n to (or
77Physical
this Q* day
C' ter. a "i
Name of pers
Person ly Kn
Type of dent
ProduTU
�
{Signature of
Commission
as Agent for Owner I Signature
5 4 L.u-C %
and subscribed before me of
> or Online Notarization
U C" v. 2020 by
making statement.
n OR Produced Identification
ation
A/0AI'ViA
itary Public- Stat a) SUSAN HENSON
Notary Public - State of Flk
Commission N GG 2352�
G�35oF e Comm, Expires Jul 4,
Banded through National Notary
REVIEWS 11 p COUNTER OR
DATE
RECEIVED
DATE
COMPLET
Holder
STATE OF FLORIDA
COUNTY OF % • I e
Sworn to (or affirmed) and subscribed before me of
__L Physical Presence or Online Notarization
this -110 day of V'"r:� 2020 by
Name of person rria king statement.
Personally Known _OR Produced Identification
Type of Identification
Publ
3
ZONING REVIEW I SUPERVISOR REVIEWRE EW VEGETATION REEWI S REVIEW EE
ikary Public - State of Floric
Commission # GG 235299
�84�rn. Expires Jul 4, 202
through National Notary As
MANGROVE
REVIEW