HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l-.L4 -aQ_ Permit Number:
9
Building Permit Application
Punning 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:
j PROPOSED IMPROVEMENT LOCATION:
Address: 3 9 Sr,n Lui b6 4i C)
Property Tax ID #: Lot No.
Site Plan Name: Block No,
Project Name: P, ,,eA+ry O_I t• � Vi lla r e
DETAILED DESCRIPTION OF WORK:
Replace old exisiting meter center with a new meter/main combo panel. �, 7 j. 3 q �n 06a a�
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 _ Shutters u Windows/Doors _ Pond
)q 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:
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp
Name: Christopher Jernigan
` Address:8000 US 1 Ste 402 I
Company:Arc Master Electric LLC
Address:1660 SW Mackey Ave
j City: Port St Lucie State: I
City: Port St Lucie State:PL
Zip Code: 34952 Fax;772-204-2180
h Phone No.772-878-3011
Zip Code: 34953 Fax: 772-204-2180
E-Mail:beverly@spanishlakes.com
Phone No772-708-9466
Fill in fee simple Title Holder on next page ( if different
E-Mail i
i
State or County License ER 31751
from 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: _Not Applicable
MORTGAGE COMPANY: v Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: V 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."
Signature of Co ntr for/Li der
Sign re of OwnKLes,,94V/qontrae6r as Agent for Owner
STATE OF FLOR
STATE OF FLORIgA/ /
COUNTY OF_ _ � &
COUNTY OF
The forgoi g ihstrum Ft was acknowledged before me
this ay of 20 ZZby
The for of g instru e t w a k wledged fore me
this of 20�iy
Name of person making statement.
Name of person making statement.
Personally Known s, Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(SWture of No ic- State of Florida)
(fig —nature lorida )
Beverly J. Proshe
R
Commissio BLIC (Seal)
Commissi STATE OF FLORIDA (Seal)
STATE OF FLORIDA
0_0��so
Expires 9/28/2022
REVIEWS
FR414*°s
%*&
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19