HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: ELECTR ICALAFTER THE FACT MADE BY OTHER -
PROPOSED IMPROVEMENT LOCATION:
Address: 5313 Ub HWY 1, FT PIERCE
Property Tax lD#: 1408-701-0003-000/8
Site Plan Name:
Project Name: BONG K KIM
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING OUTDOOR PANEL LIKE FOR LIKE
New Electrical Meter Second Electrical Meter `
1i CONSTRUCTION INFORMATION:
Lot No. 3'
Block No.
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: $ 400.00 Utilities: — Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name BONG K KIM
Name: Jorge F Granadillo
Address: 5357 N US HWY 1
Company- Grana Electric Air Conditioning &
City- FT PIERCE State:
Zip Code: 34946 Fax:
Phone No.
Address: 3073 SW Ann Arbor Rd
city: Port St Lucie State: FL
Zip Code: 34953 Fax:
Phone No 772 342-9713
E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail granadillo699yahoo.com
State or County License EC1 3005395
IT vaiue or construction is zbuu or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,5W or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: _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.
1 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 paging 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 atto before commencing work or rprenrrlino vnl,r Nntira nf.Cnmmnnr-eencn+
Signature of Owner/ "m9sritractor as Agent for Owner
Signature of Cofttralo-011fHolder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY F 1- y
CfEINTY QF ~t
` l9 Li�C =
Swor o {or affirmed) and subscribed before me of
1
Swo to (or affirmed) and subscribed before me of
Physical Pr nce o , Online Notarization
this day of I—y t�ft,1 ' e-11 . .2024 by
Physical Pre nce or
Online Notarization
2026 by
Na e o *son making statement.
Nam per making statement.
Personall Known OR Produced Identification
Personally, Known OR Produced Identification
Type of Id n ific Lion
Type of de dfication
Produced
Produc d
(Signature of to yjte of iifdaF)R E S N I L L O
{Signatu o ary P' (i
c�rida Notary Public
State of Florida Notary Public
=* mi o # GG ?_77_747
Commission NO.� =" �Co"Usion
-*
Commission No.
�,
*= Commission # GG 272.747
, My Cee��qq +�ion Expires
Expires
December 22, 2022
++++ Dscmbef 22, 2022
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