HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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) 4624S78 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: _2316 Tamarind Q[jye
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Legal Description: Rev PL of Fort Pierce Shores Unit 4 BLK 29 LOT 3 ( 1.71AC) (OR 4040-615)
Property Tax ID #: 1436-603-0003-000-4 Lot No. 3
Site Plan Name: BEACHSIDE REHAB Block No. 29
Project Name: BEACHSIDE REHAB
Setbacks Front Back: Right Side: _ Left Side:
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Replacement of both panels, breakers, meter can, riser and riser wire, along with weather head.
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Addftion_aF_worK toe nertormed under ts permit checkkall apply:
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�HVAC 1-1 Gas Tank ❑Gas Piping _ Shutters ❑Windows/boors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: _ S Ft. of First Floor:
Cost of Construction: $ 4,255.00 Utilities:Sewer Septic Building Height:
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Name: JAMES K WILLIAMS
Company: ARLINGTON ELECTRIC
Name 2316 Tamarind Drive LLC
Address:1101 54TH STREET
City: West Palm Beach State: FL
Address: 3251 SE DIXIE HWX
Zip Code: 33407 Fax:
City: STUART State: FL
Phone No. 561-365-3758 X 309
zip code: 34997 Fax: 7 7 2— 2 8 7— 2 3 8 0
E-Mail: martyp@beachsiderehab.com
Phone No.772-287-1353
Fill in fee simple Title Holder on next page ( if different
E-Mail: 9re @arlin tonelectricinc . com
from the Owner listed above)
State or County License: EC 130077 67
Commencement Is required.
If value of construction is $2500 or more, a RECORDED Notice of
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip:
Phone:
U11- C iCi. � �LAVIi-°IN ORIVIATION-,;:,:;.
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable MORTGAGE COMPANY:
Name:
Address:
State: City:
Zip: Phone:
_, Not Applicable
BONDING COMPANY:
Name: _
Address:
City:
Zip; Phone:
I certify that no work or Installation has commenced prlor to the Issuance of a permit.
Not Applicable
State:
_Not Applicable
St, Lucie County makes no representation that is granting a permit will authorlae 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 dead 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 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
corhmencln2 work or reiaordinl? your Notice of Com m en cerp ent. -M
of owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
MARTIN
The for oing instrt}tpent was acknowledged before me
this � day of (J 20 11by
JAMES -fK WILLIAMS
(Name of person acknowled Ing )
A'C�
(Signature ❑ of ry Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No
GREGG H ROBINSON
ure
nse
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing lnstrun e� nt was acknowledged before me
this � day of.- �� — 20 `j
JAMES K WILLIAMS
(Name of person acknowledging)
(Signature of No ry biic- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No.
:{,fir GREGG H ROBINSOH
r���`_ Notary Public - State of Florida
'•
Commission # HH 59076
2024
o` My Comm. Expires Nov 1, 2024 li
R2VISCC� a%II
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My Comm. Expires Nov 1,
Bonded through National Notary Assn.`
Banded through National Notary Assn.
REVIEWS
FRONT
ZONING SUPERVISOR' PLANS
VEGETATION SEA TURTLE �MA��R��EVE
REVIEW RE
COUNTER
REVIEW REVIEW REVIEW
REVIEW
DATE
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COMPLETE
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INITIALS
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