HomeMy WebLinkAboutpermit app for 19 Palo AltoAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11-- 1 a- 2J Permit Number:
IT90 ILUQR
�au Building pp 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: S pa1,Y;9h L-XvV-4e,5
PROPOSED IMPROVEMENT LOCATION:
Address: I qq PMLi-
Property Tax ID #:
Site Plan Name:
Project Name:
/9
Lot No.
DETAILED DESCRIPTION OF WORK: I
Replace old exisitina meter center with a new meter/main combo oanel,
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 Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 1,000.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNE{RAESSEE:
CONTRACTOR:
Name Wynne 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
City: Port St Lucie State: FL
Zip Code: 34952 Fax:772-204-2180
Phone No.772-878-3011
E-Mail:beverly@spanishlakes.com
I Zip Code: 34953 Fax: 772-204-2180
Phone No772-708-9466
Fill in fee simple Title Holder on next page ( if different
E-Mailchris@spanishlakes.com
from the Owner listed above)
i State or County License ER 31751
if value of construction is 2500 or more, a RECORDED Nonce or Commencement is requireu.
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:_
Address:
City: —
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
ZIP: Phone:
Not Applicable
State
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable 6 BONDING COMPANY:
DWNER/ CONTRArTnR ArrinIAT. ,,.._�:__�:_._ ._ .
Name:_
Address:
City:
Zip:
Phone:
Not Applicable
State:
of Applicable
— - t,11 - --a --y -due to omain 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 be ore commencing work or recording your Notice of Commencement.
of
nt for Owner I Sign-- a e
STATE OF FLORID
COUNTY OF
Swo or affirmed) and subscribed before me
Phvsical PrXU&k2
Online Notarization
this day of2020 by
Name of person ma�rOR
tement.
Personally Known Produced Identification
Type of Identificatiorl
Producefl /1
ure of N
Commission No.
REVIEWS � FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
eve. 7977(F—
State ombTl�
Beverly J. Pmske
NOTARY PUB
STATE OFF RIDA
" 9/26/2022
ZONING SUPERVISOR
REVIEW I REVIEW
eH
STATE OF FLORID / U
COUNTY OF
Swor or affirmed) and subscribed before me of
PIyysical Pres ce or line Notarization
this day of 2020 by
Name of person makin statement.
Personally Known OR Produced Identification
Type of Identifica ion
Produced,,? _
(Signature of N i41- 6da )
Commission N STATE OF FLOAeal)
2627RII
Expires 9/26/2022
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW