HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 181 BANYAN DR
Property Tax ID #: 3419-520-0029-000-1
Site Plan Name:
Project Name: Barbara Paulino
DETAILED DESCRIPTION OF WORK:
Electric service change, replace meter can and electric panel, like for like
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 9
Block No.
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: $ 1,655. 00 Utilities: —Sewer — Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Barbara Paulino
Name: Jorge F Granadillo
Address: 181 Banyan DR
City: Port Saint Lucie State:
Zip Code: 34952 Fax:
Phone No. I S 3A
E-Mail. barbaraDaulino04(Pgmail.corn
company: Grana Electric Air Conditioning &
Address: 3073 SW Ann Arbor Rd
City:. Port St Lucie State: FL
Zip Code: 34953 Fax:
Phone No 772 342-9713
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail granadillo69@yahoo.com
State or County License EC1 3005395
11 vdiueui co"struiaio" is z3uu or more, a 11MUKUtU Notice OTLommencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: —State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: a Not Applicable
Name:
Address:
City:
Zip: Phone:
(BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 financinL7, corrsuif
nder or an
Signature of Owner/
as Agent for Owner
work or recordi
Signature of
rN
older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S� IJ�F— COUNTY OF V ��-F
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of U 20211-by
Name of pers&n making sttement.
Personally Known ��ORProduced Ide tiEication
Type of Identification
Produced
ncement.
Swor (or affirmed) and subscribed before me of
Physical Presen r Online Notarization
this -Q_y day of C_ 202d by
I �� a
Name of per on making statement.
Personally Known 'Ir__�OR Produced id n 'fication
Type of identification
Produced
(Signature of Notary Pub(
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(Signature of Notary Pub '-fiCp,Af
Flo; S N I L L 0
State of FI a -Notary Publi
of Florida Notary PublCommission
No.t��
Gajp ion # GG 272747
MY Expires
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o mission
December 22, 2022
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