HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/ 14/2022
Permit Number:
`L:
1 Building Permit Application
Planning and development Servtces
Budding and Code Regulation Division Commercial Residentlal x
2300 Wrglnlo Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462 1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 1315 Parkland Blvd, Fort Pierce, FL 34982
Property Tax ID q: 3409-704-0137-000-1 Lot No. 4 and 5
Slte Plan Name: Riverdale Yacht Club Estates Block No. 21
Project Name:
DETAILED DESCRIPTION OF WORK:
IAke for like 200a panel replacement.
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 -Windows/Doors _ Pond
X Electric _ Plumbing J Sprinklers
Total Sq. Ft of Construction. 1696
Cost of Construction: $ 2107.49
_ Generator
Sq. Ft. of First Floor:
Roof Pitch
1696
Utilities: Sewer ,Septic Building height: _1
OWNER/LESSEE:
Name Martin Frier
Address: 1315 Parkland Blvd.,
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. (772) 475-4679
E-Mail: mfrier0dverauto.com
Fill in fee simple Title Holder on next page I If different
from the Owner listed above)
CONTRACTOR:
Name: Donald Green
Company: Con Green Electric
Address:1305 W 1 St St
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No (772) 418.5739
E-Mail Permits@dongreenelectric.com
State or County License EC13007447
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
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zi p: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip' Phone;
OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a pemtit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
St Lune County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is to 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 Lude 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
Dew oian Dew earn -
Signature Gf Owner/ Lessee/Contractor as Agent for Owner Signature f Contractor/License Holder
STATE OF FLORIDA
COUNTY OF tea
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 14 day of February , 2022 by
Don Green
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pudic- State
Commission No. H-0-19V2
REVIEWS I FRONT f ZONING
COUNTER REVIEW
DATE
STATE OF FLORIDA
COUNTY OF —
Sworn to for affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 14 day of February __ _ , 2022 by
Van Green
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
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