HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential YES
PERMIT APPLICATION FOR: Electricai
PROPOSED IMPROVEMENT LOCATION:
Address: 3104 NW RADCLIFFE WAY
Legal Description: RIVERBEND(PB 67-36)-LOT 20 (OR 3879-1655)
Property Tax ID#: 4425-703-0025-000-6 Lot No.
Site Plan Name: Block No.
Project Name: LINDA SINKULA
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL TRANSFER SWITCH AND LOAD SHEDDING MODULES
CONSTRUCTION INFORMATION:
Additionalwor to a er orme un e-r t is per —c ec a apply:
❑HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers F]Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ Utilities. Sewer E]Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Dame LINDA SINKULA Name: GEORGE G SANCHEZ JR
Address:3104 NW RADCLIFFE WAY Company: EXCEL ELECTRIC LLC
City: PALM CITY State:FL Address: 1391 SW BELLEVUE AVE
Zip Code: 34990 Fax: City; PORT ST LUCIE State:FL
Phone No.772-287-6689 Zip Code: 34953 Fax:
E-Mail:lindasinkula@bellsouth.net Phone No. 772-529-1091 Qualifier 561-513-1477
Fill in fee simple Title Holder on next page(if different E-Mail: EXCELOFFICE77@GMAIL.COM
from the Owner listed above) State or County License: FC-13006483
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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.your Notice of Commencement.
2WVA-yK . . I ' -—1=S
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sr LUciE COUNTY OF ST LUCIE
The for Ding instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ay of X1n.cLc.n�l _, 20 �by thiso�Qay of 20 �by
LI NSA S INKULA-"- GEORGE G SANCHEZ JR
(Name of person acknowledging) (Name of per n acknowledging) y
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida}
Personally Known OR Produced Identification X Personally Known x OR Produced identification
Type of Identification Produced nL Type of Identification Produced
GG94631fi Commission No. GGW316 Seal
Commission No. (Seal}
4V No Pu li
Ashley$imlamany
y Commission GG 946316
Revised 1Bxpirea0211 612 0 2 4 1:JjME
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS