HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
1�174
2 Building Permit Application
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: W4 % ne ,)e d , iRi Q
Property Tax ID #: Lot No.
Site Plan Name: Block No,
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace old exisiting meter center with a new meter/main combo panel. (a 24 2 91 tam ion �o j
New Electrical Meter - Y — Second Electrical Meter
I CONSTRUCTION INFORMATION: J
Additional work to be performed under this permit — check all that apply:
Mechanical ` Gas Tank ` Gas Piping _ 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:
OWNERAESSEE:
CONTRACTOR:
Name Wynne Building Corp
Name: Christopher Jernigan
Company:Arc Master Electric LLC
Address.8000 US 1 Ste 402
City: Port St Lucie State: _
Zip Code: 34952 Fax:772-204-2180
Phone No.772-878-3011
Address:1660 SW Mackey Ave
City: Port St Lucie State: FL
Zip Code: 34953 Fax: 772-204-2180
E-Mail:beverly@spanishlakes.com
Phone No772-708-9466
l
Fill in fee simple Title Holder on next page ( if different
E-Mailchris@spanishlakes.com
ER 31751i
� State or County License
lfrom 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: __�C Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _k_ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
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."
I /L1 ,/J,
Signa ure of Owner/ ssee/Contr or or Owner
1�1STATE
Signature of Contra or/License er
OF FLORIDA ��
COUNTY OF lj(i�,
STATE OF FLORID / V -
COUNTY OF J'— &
The forcing instrumei t was a n I dged before me
this day of O�y
The forgoing instrum nt was acknowledged before me
this day of ! E 20 by
Name of person making state nt.
Name of person making statement_
Personally Known OR Produced Identification
Type of Identification
Produced
Personally Known R Produced Identification
Type of Identification
Produced
(S(gnature of No Ik&AW*. pW& ida)
NOTARY PUBLIC
Commission T F FLOROM1)
Cornnl# GG262780
ure of No u dfdmrida )
NOTARY PUBLIC
Commission STATE OF FLORIeal)
Comm# GG262780
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19