HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �'� Permit Number:
(D , ,
P *07' r2 Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
LPROPOSED IMPROVEMENT LOCATION:
Address: &5)r7 Sanri SC 8)✓d , FDr4- f +�eree, jC-j.
Property Tax ID#: ,:P ya g "`7a1 — 00),!;l 'DOD-' g op Lot No.
Site Plan Name: I/ 0 p roWn 3ES Q" Block No.
Project Name: dkIsDn des denco
DETAILED DESCRIPTION OF WORK:
�-he. fa c - " Er"-e re,-e""4 t2 ePa I
r7 p tJra ) I L q ►7 OW d->e rs 6,fe c tr%c ez / )0'q n L"/
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
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: $ o`Z t)D Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name kl_�044 A Pd k- , S C, Name: j t.- � h L Ynd! on. S, _
Address: 3SI7 3t/Y�r%� P_ 9)l d Company: J�S 6L Yic Ot S 'C, lec-
City: Rxe _ Ilp i'?A (..C. State: FL Addresrs::: )I1 010 3" ) Q V Ql ef7 e _
Zip Code: �3�f 9 � Fax: N ) 0 City: ru c r pf e LP— State: f—L
Phone No. 7 l lJ D Da 0 Zip Code: 3 Yq 8 Z Fax: N 119
E-Mail: Phone No 7_7Q i f 5 �31D3
Fill in fee simple Title Holder on next page( if different E-Mail i De C'FJ u Se,. CO n1
from the Owner listed above) State or ounty License C 1 3 0 072 1)3
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: xC Not Applicable MORTGAGE COMPANY: =< Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: 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.
Signatu of n r/Lessee ontractor as Agent for Owner
STA E OF FLORIDA
COUNTY OF 6_1 GZ
Sworn to(or affirm d)and subscribed before me of X Physical Presence or Online Notarization
this�day of �U �.4S f 20a1 by
�13S2�h �4--ernd,an Sr.
Name of person making statement.
Personally Known�< OR Produced Identification
Type of Identification Produced
(Signature of N94ry Public-State of Florida)
Commission Noce-XV 3-T5 (Seal) =Expires
afFkv
niel
GO 352M
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev
Joe"s Electric of St Lucie County, Inc.
1206 Bell Avenue
Fort Pierce, Florida 34982
PH 772.465.2363 Email joes@usa.com
St Lucie Cnty. Building Dept. August 9, 2021
Fort Pierce, FL
RE: Floyd & Keely Adkison Residence
3517 Sunrise Blvd.
Fort Pierce, FL 34982
TO WHOM IT MAY CONCERN:
On May 24, 2021 we received a request to check a power issue at
3517 Sunrise Blvd in Fort Pierce, FL. Upon arrival to the residence,
our technician discovered a bad connection on the neutral lug in the
Customers Service Panel, he repaired the lug on the spot, to restore
power to the residence.
There is no cause for further action.
Sincerely,
R. E. McDaniel, Supervisor
Joe's Electric of St Lucie Cnty., Inc.
EC# 13007203