HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Slc LL LL
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Building Permit Application
Planning and Development Services
Building an Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34992
Phone:(? 2)462-1S53Fax:(772)462-1578 CBDG Funding
PERMIT PPLICATION FOR:
Address: 7147 US1 Port St Lucie FL 34952
PropertyTax ID #: 3422-211-0010-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Channel Letters
DETAILED DESCRIPTION OF WORK:
Install channel letters on building facade
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pont
I
X Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitc
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $$ 500 00 Utilities: -Sewer _ Septic Building Height:
0 RAESSEE:
CONTRACTOR:
Name Alex Tran
Name: Adam Chapman
Address: 7147 US 1
Company: ADAM CHAPMAN ELECTRICAL SERVICES LLC
Address: 1p34NwPiNELAKFDg
City: Port $t Lucie State: FL
Zip Code: Fax:
City: Stuart State: F
Zip Code:34994 Fax:
iM952
Phone No. _186-688-2794 E-
Mail: dattran016rcDamail.com
Phone No 772-285-1380
Fill in fee simple Title Holder on next page (if different
E-Mail m 1
State or County License EC 13006096
from the owner listed above)
If value of construction Is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: !N!ott pplic
Name:
ble
Address:
Address:
City: State:
City: State: _
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applica
Name:
3le
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ Cum KAC I OK AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as if dicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is ranting a permit will authorize the permit holder to build the subject stru ure
which conflicts with any applicable Homeowners�sociation rules, bylaws or and covenants that may restrict or prohibit su h
structure. Please consult with your Homeowners 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 recor s of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, onsult
with lender or an attorney before rnmmpnrino wnrk nr rorn,-Air,. ,,n..r funti�e s r........o.,,.e. __+
Signature of Yon actor -or- r er explicable
STATE OF FLORIDA
�;
COUNTY OF A
Sworrlto (o,affirmed) ands by scribed before �e of
thisKda IL//i. /b
Physical Presence or
_ Online Notarization
of b&Z 20
Name of person making statement.
Personally Known _SZOR Produced Identificatio
Type of Identification Produced
Ito L''
(Signature of Notary Public- State of Florida)
Commission No. (Seal)
Nbtary Public$tataof floritli
F�je,,j
Robin Jawbs
My cornitill n GG 249968Ekgni
06/19/2022
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