HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '3-• 15�•' i
Permit Number:
S57o WCUIE
O
n " Building Permit Application
Planning and Development Services X
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: "1 a -j 0 a
Property Tax ID #:
Site Plan Name:
Project Name:
Lot No.
Block No.
`DETAILED DESCRIPTION OF WORK:
Replace old exisiting meter center with anew meter/main combo panel. (g, Ll Ta.�. 3-
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
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:
NameWynne Building Corp
Name: Christopher Jernigan
Address:8000 US 1 Ste 402
Company:Arc Master Electric LLC
Address:1660 SW Mackey Ave
City: Port St Lucie State: FL
Zip Code: 34953 Fax: 772-204-2180
Phone N0772-708-9466
E-Mail chris@spanishlakes.com
State or County License ER 31751
City: Port St Lucie State: _
Zip Code: 34952 Fax:772-204-2180
Phone No.772-878-3011
E-Mail:beverly@spanishlakes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement
is required.
is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:_
Address:
City: _
Zip: Phone
X Not Applicable
State
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: x
Name: _Not Applicable
Name:
Address: Address:
City:
Zip: PCity:
Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that noyywork or installation has commenced prior to the issuance of a permit.
whichisis inconflictwith any applicable represt is entation
Association npermit els,aby aws or andhe pcovenants that may estr ctbor 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 commencn work or recordin our Notice of Commencement.
Signature of Ow er/ Lessee on rates Agent for Owner
STATE OF FLORJD8
COUNTY OF ,�"�(�,�
Swor (or affirmed) and subscribed before me of
Physical Presence or �-�-- Online Notarization
this 1� day of Ma� , 2020' by
Name of person making statement.
Personally Known Produced Identification
Type of Identification
Produced /I /l
(Signatu er of Nota
Commission No.
REVIEWS � FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
,ev.
Signature of Contr or/License
STATE OF FLORIDA
COUNTY OF_
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this /S day of 202,K by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced/I
PWOR0 (5 nature of N u `tea v F`�orida
NOTARY PUBLIC Jt�RLIJ )
STATE OF FLPIPP Commission NOTARY PUBLIC
Cmwn# GG262780 FLORIDA(Seal)
/2022 Comm# GG262780
ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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