HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 1-10-22All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number:
Building Per Application
Permit
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 6 57 I S JP_ r&_-s* �.,
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name: 5 QaniSi Lo-keS Fr— i c0C' C,
DETAILED DESCRIPTION OF WORK:
Replace old exisiting meter center with anew meter/main combo panel.@ �' IS LQ3 Teri si+o,
New Electrical Meter —Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
—Mechanical _ Gas Tank _ Gas Piping V Shutters _ Windows/Doors _ Pond
)( Electric — Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,000.00 Utilities: —Sewer _ Septic Building Height:
OWN EWLESSEE:
CONTRACTOR:
Name Wynne Building Corp
Name: Christopher Jernigan
Company:Arc Master Electric LLC
Address:1660 SW Mackey Ave
Address:8000 US 1 Ste 402
City: Port St Lucie Sate: _
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
Fill in fee simple Title Holder on next page ( if different
E-Mail chris@spanishlakes.com
from the Owner listed above)
State or County License ER 31751
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: �_ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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."
4Signare
of Owner/ ssee/Contr or or Owner
Signature of Contra or/License FlotTer
STATE OF FLORIDA
COUNTY OF >7 b6l&I 411
STATE OF FLORID /
COUNTY OF (� Ue
The forprig instrumeiit was a cn I dged before me
this day of 0 �7by
The forgoing instrum nt was acknowledged before me
this day of 20 27by
_A/
Name of person making state nt.
Name of person making statement. -
Personally Known OR Produced Identification
Personally Known Produced Identification
Type of Identification
Type of Identification
Produced
Produced
A
(S(gnature of No Ig "M ida)
ure of N u dWarida )
NOTARY PUBLIC
Commission AT FFLOR(IS>4aI)
NOTARY PUBLIC
Commission TATE OF FLORID4Se a[)
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Corrxn# GG262780
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19