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HomeMy WebLinkAboutpermit app for 15 Ecuador WayAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:. 7 !— I Permit Number: a U bUC�1E 0 °gyp` Building pp 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: Is 6C UA-JarW ^ V Property Tax ID #: Site Plan Name: _ Project Name: Vill DETAILED DESCRIPTION OF WORK: Replace old exisiting meter center with a new meter/main combo panel. New Electrical Meter Second Electrical Meter. CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: —Mechanical — Gas Tank _ Gas Piping _ Shutters , 2C Electric _ Plumbing _ Sprinklers _ Generator Lot No._ Block No. _ Windows/Doors _ Pond _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 1,000.00 Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: - NameWynne Building Corp Name: Christopher Jernigan Address:8000 US 1 Ste 402 Company:Arc Master Electric LLC City: Port St Lucie State: _ Address:1660 SW Mackey Ave Zip Code: 34952 Fax:772-204-2180 City: Port St Lucie State: FL Phone No.772-878-3011 Zip Code: 34953 Fax: 772-204-2180 E-Mail:bevedy@spanishlakes.com Phone N0772-708-9466 Fill in fee simple Title Holder on next page ( if different E-Mail chris@spanishlakes.com from the Owner listed above) State or County License ER 31751 If value of construction is 2500 or more, a KEGUKULU Notice or Lommencememt 15 F-C4UHUU. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: „ FEE SIMPLE TITLE HOLDER: X Not Applicable Name: BONDING COMPANY: X Not Applicable Name: Address: Address: City: City: Zip: Phone: 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 our Notice of Commencement. Signature of O ner/ Lessee/ tractvas ent for Owner Signature of Contrac /License H r STATE OF FLORIDA COUNTY OFF / STATE OF FLORIDA1 / ' COUNTY OF Swor (or affirmed) and subscribed before me of Ph sical Prese ce Online Notarization thisay of , 2020 by Sworn or affirmed) and subscribed before me of Physical Presen a or- Online Notarization this day of 2020 by Name of person making statement. Name of person making statement. Personally Known �'OR Produced Identification Personally Known OR Produced Identification Type of Iden ' 'cation Type of Identification Produced Produced � &rids) (SignbTure of Noy k !ttARY (Si nature of No 4t(pp ) PUBLIC Commission FLORIdAeal) NOTARY PUBLIC Commission FLORIDF(SeaI) Comrrdf GG262780 © '' Conxrr!« GG262780 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.