HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential x
PERMIT APPLICATION FOR: Electric
__ ._..._._._._.--__.._.__. — --- ---�
PROPOSED IMPROVEMENT LOCATION:
Address: 8632 Cobblestone DR
Property Tax ID #: 2326-600-0069-000-0
Site Plan Name: Barton
Project Name: Barton
DETAILED DESCRIPTION OF WORK:
Install 120V Amp dedicated GFCI Circuit
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 700.00
Gas Piping
Sprinklers
Shutters
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Peter David Barton Nancy Ellen Barton
Name: Walter Nasi
Address:8632 Cobblestone DR
Company:Sol Electric LLC
City: Fort Pierce FL State: _
Zip Code: 34945 Fax:
Phone No.772.448.8336
Address:5500 SW 43rd Ter
City: Ft. Lauderdale State: FL
Zip Code: 33314 Fax:
Phone No754.423.4105
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailwnasi72@yahoo.com
State or County License EC13008044
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: AA
DESIGNER/ENGINEER: Not Applicable
Name:_
Address
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:,
Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name:
Name:_
Address:
Address:
City:
City:_
Zip: Phone:
Zip:
f7.'t:7=
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 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 attornev before commencine work or recordiniw vour Notice of Commencement.
Z'(/ru'C)Av,
Sign4fure of O ner/ Lessee/Contractor as Agent for Owner
Signatur Contractor/License Holder
STATE OF FLOR
OF -2m-bG.
STATE OF FLORIDACOUNTY
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of I Al Z -F 24ae-ty -C�
Physical Presencc or Online Notarization
this day of �r✓t"� 2 Eby
Name of person making statement.
Name of per"011making statement.
Personally Known -O roduced Identification 1�
Personally Known 1 OR Produced Identification
Type of Identification
Produce �—� ��
Type of Identification
Produced
. Florida
(Signature f Notar a —y' •of,Fdtq blic s:H2
Commission k227
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Commission N S
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Signat e o Not y Public-
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i*a KATHRYN POCKER
'?N blic • State of Florida
Commission No.dthrol tee; �ssion # HH 025227
orn°. My Comm. Expires Nov 2i. 2024
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Rev. 5/6/20