HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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) 462-1S78 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 1666 NW Buttonbush Circle
Legal Description: Harbour Ridge Plat 19 Tallowwood village
Property Tax ID #: 4426-840-0012-000-7 Lot No. 11
Site Plan Name: WEIN Block No.
Project Name: WEIN
Setbacks Front Back: Right Side: _ Left Side:
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Move outlet to new refrigerator location, add outlet backsplash, add additional under counter light
add outlet for ice maker . Reverse outlet box in wall at new refrigerator location.
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A. Additionalwork o be n r or red under this perm —checK all apply-
0 HVAC LJ Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: St . Ft. of First Floor:
Cost of Construction: $ 1500 Utilities: Sewer Septic Building Height:
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Name: JAMES K WILLIAMS
Company: ARLINGTON ELECTRIC
Name Mamaret & Marc Wain
Address: 155 Cog newaugh Road _
City: _ COS COB State: jU
Address: 3251 SE DIXIE HWY
Zip Code: 06807 Fax:
City: STUART State: FL
Phone No. 772-215-3690
Zip Code: 34997 Fax: 772-287-2380
E-Mail:
Phone No.772-287-1353
E-Mail: gre @arlin tonelectricinc. com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: EC 13007767
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
DESIGNER ENGINEER:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
State:
— Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
zip:. Phone:
BONDING COMPANY:
Name:
Address:
city:
Zip: Phone:
I certify that no work or Installation has commenced prior to the issuance of a permit.
Not Applicable
State:
=Not Applicable
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing worlt or recording your Notice of Commencenent. n A _
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.It
_ 5tnature of owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instru nt was acknowledged before me
this (.pday of 1ti a 20'di_by
JAMES -IK WILLIAMS
(Name of person acknowledging)
(Signature ary Public- State of Florida )
Personally Known X OR Produced identification
Type of Identification Produced
Commission No,
(Seal)
s
ure of ContractorAlcense
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
this 1_�L day of.. 20 a L_ by
JAMES K WILLIAMS
(Name of person acknowledging )
(Signature ary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No,
A/2
Notary Public - State of Jid
ReV1SeC� 07/1Commission a HH 59
FFfl. My Comm. Expires Nov 1l N- —
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Seal
dow
GREGG H ROBINSON
Commission 4 HH 59076
My Comm. Expires Nov 1, 2024
Bonded through National Notary Assn.
VEGETATION SEA TURTLE j I MANGROVE
REVIEW REVIEW REVIEW