HomeMy WebLinkAboutBuilding permit appAll 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 XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: BLYCO ELECTRIC
PROPOSED IMPROVEMENT LOCATION:
Address: 1107 Kings Wood Lane Ft Pierce. FI 334981
Property Tax ID #: 3404-807-0012-000-3
Site Plan Name:
Project Name: Kessler Resident
DETAILED DESCRIPTION OF WORK:
Add 60A circuit breaker with disconnect for Heat Pump
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Lot No.
Block No.
—Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
V Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ —4-C) 0l'-
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER LESSEE:
CONTRACTOR:
Name 1
sLzv'
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Name: O U�J;
Address: ll0-7 L�tU✓i 6o, Lpd'
Company: BLYCO LECTRIC_L-U
City: (--r- PL>✓Q'e State:
Zip Code: 3Jj '6 Fax:
Phone No.
Address: 4111 BANDY BLVD
City: FT PIERCE State: FL
Zip Code: 34981 Fax:
Phone No 772 742-8788
E-Mail: �Vll�f"[f�I�iN E�ESS i ��M� Il G�t�
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail steph@blycoelectric.com
State or County License EC 13001240
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:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
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.
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 attorney before commencing work or recording your Notice of Commencement.
c._ _-
Signa ure of Contract e, Holder S7 State o4 Fion a
Signature of Owner/ Lessee/Contractor as Agent for Owner
-o% r-: Notary Public - ! ,�.� 110332
z 29. 2025
STATE OF FLORIDA
�; ,,. c. OoR,tmsvor'ires Mar
STATE OF FLORIDA '�' Co Ex9 tiotary Aszn.
COUNTY OF
COUNTY OF roughNatiora.
Sworn to (or affirmed) and subscribed before me of
Swornto (or affirmed) a subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
l�h• sicaI Pres ce or Online Notarization
this �� day of �/ Nam" 202C� by
Name of person making statement.
Name of person maKing statement.
Personally Known OR Produced Identification
Personally Known GX OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of No ' r u ic- Sta e of Florida )
�
Commission No. (Seal)
G
Commission No. y 1 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 516120