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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:.IQ.- 7 - AI _ Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 6-77 7 Tu e c.. n - Property Tax ID #: Site Plan Name: Project Name: S rl S Fa; r w yS DETAILED DESCRIPTION OF WORK: Replace old exisiting meter center with a new meter/main combo panel. New Electrical Meter Second Electrical Meter. CONSTRUCTION INFORMATION: Lot No. Block No. Additional work to be performed under this permit- check all that apply: —Mechanical _ Gas Tank _ Gas Piping _ Shutters — Windows/Doors ! Pond 1C 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: OWNER/LESSEE: Name Wynne Building Corp Address:8000 US 1 Ste 402 City: Port St Lucie State: _ Zip Code: 34952 Fax:772-204-2180 Phone No.772-878-3011 E-Mail: beverly@spanishlakes.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Christopher Jernigan Company:Arc Master Electric LLC Address:1660 SW Mackey Ave City: Port St Lucie State: FL Zip Code: 34953 Fax: 772-204-2180 Phone N0772-708-9466 E-Mail chris@spanishlakes.com State or County License ER 31751 if value of construction is 2500 or more, a REcvKUW Notice or c.ommencemenL w FC14UH CN. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: ?� Not Applicable Name: 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. 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 ases 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." y. "110 Ak, Signature of O er/ Lessee/ tractor asAg`dnt for Owner Signature of Contractor tense Hold` STATE OF FLOR " ` ` COUNTY OF STATE OF FLORIDAe- / J COUNTY OF U L��1, The for oing instrment was knowledged before me this day of 20.& by The for oing ins tPQt n was ck ow edge fore me this � day �ky of 20 Name of person making s ment. Name of person making statement. Personally Known OR Produced Identification Type of Identification Personally Known OR Produced Identification Type of Identificatio Produce Produced roske Signature ofii©19tRhhRIf 1W_2ida) ( ignature of T tgg rida ) TATE OF FLORIDA CommissionGG2WIRSeal) STATE OF FLORIDA Commission Seal (Seal) xpir 9/26/2022 262780 Expires grMI2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED _T DATE COMPLETED ev.