HomeMy WebLinkAboutBuilding Permit Application z- 633 - 5116I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED qq rr��
Date: Permit Number:p` to(o •00"I
OMIT-
R f
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Electric
d £J a k J} -ec< d F.:
PRPQSED (MkROUEMEN7lOCAT(tDN� ` °4 $; 4 a
u
r _�ti _ ... . �w. _F �._<•.. _ ' ... . ._t � _._a, ,._ _ . �,.�. . �.
Address: 3603 Avenue O, Fort Pierce, FL 34947
Property Tax ID#: 2405-601-0396-000-6 Lot No.6 &7
Site Plan Name: Block No. 22
Project Name: Singleton-Electric repairs
'{a
t ? , ,�"` � � � ,� �. � •.
n�, _.x•� e .-.r o- s.A x�-. e .. "a- - �; ,�. ,a-t` case u, .•.-� $u } ,.,y'�4''Y 2 3�..S x.1_ �e
Replace Smoke Detectors, Replace GFCI outlets, Replace damage or loose outlets and switches, hardwire water heater,
replace exterior light fixtures
-S. �-yvt�s�.E�--..u�+a..«kx','k A ., "`• '1p-. ` g..a t w. ' a 1 `'a k- `%, � `^ v ;.
�cc�NSTRucT(o�(NfioRMA�(oN � �.� s 3
Additional work to be performed under this permit—check all that apply:
— Mechanical _Gas Tank _ Gas Piping _Shutters _Windows/Doors
X Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 1,508 sqft living area Sq. Ft. of First Floo�,508 sqft
Cost of Construction: $ 2,350.00 Utilities: —Sewer —Septic Building Height:
OIINER/LESSEE. . . . . ,' 4 4N CONTRACT�Rstf . x .,
t"x-� .4..'� , ..R'7c G^. �n•Y s"`a�..tea_8..t.
Name Edith Singleton Name: rUtc C
Address:3603 Avenue O Company: ( _2 2 —� ,1! 1—
City: Ft Pierce , FL State:_ Address: (.
Zip Code: 34947 Fax: City: V14(q�k I State: L
Phone No.772-342-0587 Zip Code: 1 Fax:
E-Mail: Phone No � "(
Fill in fee simple Title Holder on next page( if different E-Mail
from the Owner listed above) State or County License ^t"
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
it
V,
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 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
v
Signature of Owner/Lessee/Contra for as Agent for Owner Signa ontractor/License Holder
STATE OF FLORIDA TE OF FLORIDA
COUNTY OF 51 L uc1i c ouN!� COUNTY OF
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this Z5 day of T1) 20-11 byM= E
this day of J Vi/-0 20jo 1by
Name of person making statement. Name of person making statement.
` /Personally Known OR Produced IdentificPersonally Known " `_ OR Produced Identification
Type of Identification Type of Identifica 'ProducedProduced , JOUBERT PIERRE
t MY COMMISSION#HH 0266 EXPIRES:August 2,2024
r o`
Bonded Thtu Notary Public Underwri.
(Sign ture of Notary Public-State of Florida) i (SignatVnN
otary P blic- a e o on a
Commission No. 6G 95 �9 Y (Seal) °••�` Commi . (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.