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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