HomeMy WebLinkAboutBuilding Permit ApplicationAll APPIZA111.9-INFO, MUST OE 'COMPLETED FOFtAPPLICATIONT-OSE ACCEPTED
Date-,
P.grYnft.Numbeip._.4z
0 Jr
W
,w
W
Bull.ding Permit Appilkation
Oultd�neandCade ReoWadonDivistoO- Cdmrnemlal Yes - Residential
2300 Vftf[WdAvirnue, rod Pkta- fL-NW
Phone: f.772) 462,1553� Far.-(7j2) 462-1518-..
PERWTAPPUCATOWFOR:
ELECTRICAL
Address:. 9800.8 968an DdV4
Property W0#.4602-604-=-0W% Lot Na.
M:Olah Wme: thucitirS 009kiiig W' Block-Nd
Project NalhL.I.-Sh.4cicbrd 1296ing, Lot,U§ht Poles -Replacement
Remove six
Now Uectr1ca(1Meter__ $900nd Electrical Metgr
.-A
Additlonalwark.tobeperformed underthis pormit —check al( that apply: cjJ
_1*60cal 'Gas Tank das pip1ha Shutters Windows/Doors, —Pond
Electric plumblq _Sprloklers- _,genorttor Roof Pikh
'S -
Total SQ. Pt of Construction: A. Ft. of"First F196r.,
Coh-of Co.n*.t(ttlom S. 27260.73 -utilities: _4wer —septic Butiding "eight:
Nomp Huftlium lblind.136ft Club Ina
Name; K66Wh A GaMnlk Jr:
Address; 9800. 0 Ocean Dove
06ralcp Electrical Conbv4m;*W.
MY; JensM Badch -ftte:
Address: 61* NW Enterprlsr3 Drive
ZIp-6de.-349W FOX.,
.0ty., Port at-Luble, state :E-L
Phone No.
21p Code: 14986'_ .Fax:.712-340-7475
E-Mal(: hlbQ-Pr00rW-=f1d26r@9mall-cbrn
Phone No, 772-3.40-7474.
Fill Ift fee simple Title Holdbr.ldfi OW page( If Merent
E-Wil AiScIdOldOGWeldo-com
(ram-theowrierlisted above).
SUM orCourity Ucensq-JzQ130.03415_
L
If Vahn of c"mctlon Is -23WOr ftwre, vi RKMED NOWS Of CQMMQftftnXW k re"btd;
It vaWa.04 HAVCb*$4&W*-niorq,, a Ricok"D ft"Co of cowww"Mos 00,4mcf,
;fig � ' �.l s �'� ,�i � �
N La m
o 4t
SUPPLIVIEIVTAL CONSTRUCTION tIN lAW iNOR1IRIA�'IdN' :.
DESIGNER ENGINEER., _Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City. State:
tip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: ---Name:
Address:
Address:
City:
City:
zip: Phone:
zip: Phone:
--mr.ni �-vn i Kma. i un mrriuvi r : Appucation 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 Countyy makes no represenntation that is granting a permit v�III authorize the rmit holder to build the subject si<r cture
which Is con, with anY aapplicable Home Owners Association rules, bylaws or ancovenants that ma re trio or pr�hhibit such
structure. Please consult wylth your Home Owners Association and review your deed for any restrictionsUhle 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 1pndar nr an attnrnav hafnra rnntmanAy%" uR_.1, w.....-.�.Jt.:... .. ht..u__ _s n_y. y____—
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Hdider
STATE'OF FLORIDA
STATE OF FLORIDA
COUNTY OF .S f - �Gt
COUNTY OF or7f • LetG�C�
Swor3 to (or affirmed) and subscribed before me of
✓Physical
Sworn to (or affirmed) and subscribed before me of
Prese ce or Online Notarization
day
_ _ _
�Phyyslcal Presence or Online Notarizationthis
�'L of 202Q by
this iqL day of �t�r._ . 202+ by
c!��
- am-
p--e r�t0.. Ur.
Name of person making statement,
Name of person making statement.
Personally Known _- ✓ OR Produced identification.
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur of N P
blic to of Florida
(~
natur tary P
N. .,
t
_
l�tpNf00272605
Commission No. ii
-Commission
Commission No. Sillb eslwq.ornodd.
EXPIRE& J=M 20, 2028
MY �a 0�1. � a26
REVIEWS
FRONT
PLANS
VEGETATION
ZONING
SUPERVISOR
SEATURTLE,.
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW''
REVIEW
DATE -
RECEIVED
DATE
COMPLETED
e..