HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date 1 ` 10- as
Permit Number:
�4o MECHE
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
X
Address: 10 Grond ea.ry;•-» 1 .1— '1 -
Property Tax ID #:
Site Plan Name:
Project Name: is� �c 5 i -,,L,^ qe Cl u6
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
Replace old exisiting meter center with a new meter/main combo panel.
New Electrical Meter X— Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
—Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
4 Electric _ Plumbing _ Sprinklers _ Generator ` Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1,000.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Wynne Building Corp
Name:Christophdr Jernigan
Address:8000 U3 1 Ste 402
Company:Arc Master Electric LLC
City: Port St Lucie State: _
Address:1660 SW Mackey Ave
Zip Code: 34952 Fax:772-204-2180
City: Port St Lucie State: FL
Phone No. 772-878-3011
Zip Code: 34953 Fax: 772-204-2180
E-Mail:beverly@spanishlakes.com
Phone N0772-708-9466 I
E-Mail chris@spanishlakes. corn
Fill in fee simple Title Holder on next page ( if different
i State or County License ER 31751
from the Owner listed above)
If value of construction is 25UU or more, a Ktwnunu rvotice or wmrrien�cmci� � cMNmow.
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
Name:
Address:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _)L_ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 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 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."
Signs ure of Owner/ ssee/Contr or or Owner
Signature of Contra or/License er
STATE OF FLORIDA ��
COUNTY OF �/(f�,{,
STATE OF FLORID�� / �P
COUNTY OF C�
The for ing instrumei t was a cn I dged before me
this day of O y
The forgoing instrum nt was acknowledged before me
this�Qday of 20 Eby
t.
Name of person mak��OR
Name of person making statement_
Personally Known oduced Identification
Type of Identification
Produced
Personally Known _---OR Produced Identification
Type of Identification
Produced
(S' nature of No Igt�, Aida)
NOTARY PUBLIC
Commission T T FFLOR(&VI)
C"m* GG262780
ure of No u rids )
NOTARY PUBLIC
Commission TATEOFFLORID4Sea1)
Cwmi# GG262780
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
An 2
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
-T-
COMPLETED
ev. 2/7/197