HomeMy WebLinkAboutBUILDING PERMIT AAPLICATIONALL 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
F QP;OS O 1i111PKQ.VEMENT LOCATI0NV-: ,
Address: 8686 Andrews Ave.
Legal Description: Model Land CO'S S/D 23 35 39 Lot 13 and W 95ft of lot 14 in NW 1/4 less
canal R/W
Property Tax ID #: 2323-501-0035-000-0 Lot No. 13
Site Plan Name: Thames Block No,
Project Name: Travis Thames
Setbacks Front Back: Right Side: _ Left Side:
_ :+`sir- .7':'_ e"_ _ '3' ........
Install power to one shutter with remote. Shutter by Folding Shutters ( SLC-2112-0086 )
�jr�ti� '6 _��•�;.'-�`'- _ r'.-'r� �' � Y _; tS���• ..`off. _-rzK-rr�I '�;•'` ��
•ne. -�. .s.•'�--,i_-,_�_-,,,."::_::;
r•ti.._'a.'3' Q. 'ai-•xfe{:Y° k`4-e"_.'
A mona work to (e• er ed un er t his permit -- r: iec a ajip y
HVAC L_J Gas Tank Gas Piping Shutters []Windows/boors
13 Electric 0 Plumbing Sprinklers L1 Generator 0 Roof
Total Sq. Ft of Construction: 650 5 Ft. of First Floor:
Utilities:i Sewer Septic Building Height:
Cost of Construction: $
t ; :
cONTTRA(
Name: JAMES K WILLIAMS
Name Travis Thames
Address: 8686 Andrews Ave.
Company: ARLINGTON ELECTRIC
' Address: 3251 SE DIXIE HWY
City: FORT PIERCE State: FL
Zip Code: 34945 Fax:
City: STUART State: FL
Phone No. 772-812-8876
Zip Code: 34997 Fax: 772-287-2380
E-Mail:
Phone No.772-287-1353
Fill in fee simple Title Holder on next page ( if different
E-Mail: gre @arlin tonelectricinc . com
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.
SiJPRLEI111_ C RO L E1 A
iTA -N-S
DESIGNER/ENGINEER:
TiC]I11 (; y,i
Not Applicable
Name:
Address:
City:
State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
Name:
Address:
City: -
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City: -- -Tl
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:
Address-
City -
Zip: Phone:
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-residentlal 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 worst or recording your Notice of Commencerent. . __ , ,,. A.
g ature of d6er/ Lessee/Agent
STA OF FLORIDA
COUNTY OF MARTIN
The for oing instr ment was acknowledged before me
this _y day of etc, 20%t by
DAMES -K WILLIAMS
(Name of person acknowledging)
(Signature o Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification 2roducel _ _
Holder
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instr eygl nt .was acknowledged before me
this I day of _n - t-�— 20 '�l by
JAMES K WILLIAMS
(Name of person acknowledging)
(Signature of Nota'q Public- State of Florida }
Personally Known X OR Produced Identification
Type of Identification Produced
"�v a " •. GREGG H RQ INSQN
Commission No, ':° tart' Publ a of Florida Commission No.
Comml076
My Comm. Expires Expi es NovNov1. 2024
Bonded through National Notary Assn.
Revised 07/
rGREGG H tBB]f4+,�r�
ary Public - State of Florida
Commission # HH 54076
m. q res Nav 1, 2024
Banded through National Notary Assn.
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