HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/08/2021
Permit Number:
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Planning and Development Services
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Building and Code Regula on Division
Building Permit Application
2300 Virginia Avenue, Fort Pierce FL 34982
Phone-P. (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
Address: 5008- DEANNA LN.
Property Tax I D #: 1430m702=0021 =OOOm2 Lot No. 5
Site Plan Name: Block No. 3
Project Name:
_DETAI LED'DESCRIPTIO'N OF WORK.,
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EMERGENCY SERVICE CHANGE 200 AMP., REPLACE GROUNDING. CUSTOMER HAS PARTIAL POWER. CALLED IN AS FPL EMERGENCY.
New Electrical Meter
Second Electrical Meter
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7NSTRUCTION
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Additional work to be performed unde
Mechanical Gas Tank
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r this pe rm it --w-
. Gas P*Ipin
check all that apply:
Shutters Windows/Doors fond
_ Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft
Cost of Con
of Cons
truction:...--
truction,.D $ 1,729.00
OWNER/LESSEE:
Name JOHN GREER
Address: 5008- DEAN N-A LN.
City: FT. PIERCE State:
Zip Code: 34946 Fax:
Phone No. 772-519-2077
EwMail:
Sq. Ft,. of First Floor:
Utilities: _Sewer _Septic Building Height,,
CONTRACTOR0
:
Name,.- JAMES E. MATULA
Company: MATULA ELECTRICAL CONTRACTORS INC.
Address-o1010 W MIDWAY RD.
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City: FT. PIERCE State: FL.
zip Code: 34982 Fax.. 772-461-4685
Phone No772 61-8328
Fill in fee simple Title Holder on next page 'if different E-Mail jamesmatulaaaol.com
from the Owner listed above) State or County License ECI 3001643
IfV I e of construction is 2500 or more,, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,SOO or more, a RECORDED Notice of Commencement is required.
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Mr{7.. 5o3 :: "PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIO-N'...
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DESIGNER/ENGINEER:o Not Applicable
1 MORTGAGE COMPANY, Not Applicable
9
ilvame.,
Address.
cetyp
1 0 state:
lps
FEE SIMPLE TITLE HOLDER0
: _Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address,
City: State:2
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address.,
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT.1 Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work orinstallation 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 sub}ect structure
which isin con lict 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 restrictIF
ions which may ar)r)lv,
n consideration of the granting of this requested permit, I do hereby agree
n accordance with the approved plans, the Florida Building Codes and St. L
that I will, in all respects, perform thje ork
ucie County Amendments.
i ne ronowing ounaing 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 maij 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 jobsit� before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of
er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF STIUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 8 day of MARCH ) 2020 by
JAMES E. MATULA
Name of person making statement'.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signatu
of Notary Public- Sta"
Commission No.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev. S/6120
GG 214990
FRONT
COUNTER
Signature of
tractor/License Holder
STATE OF FLORIDA
COUNTY OF ST.LUCIE
Sworn to (or affirmed) and subscribed before m of
X Physical Presence or Online Notarization
this 8-- day of MARCH 2020 by
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
��►%�'%., Notary Public State of Flor da
�e. E Montepare Co
RI�Commission GG 214990
�Expires 08/05)2022a;»�
ZONING
REVIEW
SUPERVISOR
REVIEW
atkke of Notary Public- S
fission No. cc 214990
PLANS
REVIEW
VEGETATION
REVIEW
e cyr F i cir i a cT )-Iw 1W -'W -1W "W 1W
Notary Public State of Florida
ar et E Montepare
�q mission GG 214990
� �d�' Expires 06105/2022
SEA TURTLE
REVIEW
MANGROVE
REVIEW