HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
LO S`
0 JI
' ma I I TBuilding 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 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7003 Plumosa Lane Fort Pierce, FL 34951
Property Tax lD #: 1301-613-0289-000-8
Lot No.
Site Plan Name: LAKEWOOD PARK -UNIT 11- BLK 149 LOT 20 (MAP 13l12N) (OR 2326- 1460) Block No. 149
Project Name: Murphy -Solar
DETAILED DESCRIPTION OF WORTS:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters _ Windows/Doors _ Pond
X Electric — Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 26,600.00
5q. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Irma Murphy
Name: Brian Miller
Address: 7003 Plumosa Lane
Company: Professional Electrical Services, Inc.
City: Fork Pierce State: FL
Address: 290 S rin view Commerce Dr. #3
Zip Code: 34951 Fax:
City: aeBary — State: FL
Phone No. 570-575-1680 E-
Zip Code: 32713 Fax: 386-66$-8222
Mail: lcarus570@att.net
Phone No 386-668-4222
Fill in fee simple Title Holder on next page (if different
E-Mail office@proesolar.com
from the Owner listed above)
State or County License E013001686
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: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 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 atto rnev before com m e n ci ng work or record in our Notice of Commencement.
;)3�
Signatureof Con ractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF Volusia
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this 28 day of March 2o22 by
Brian Miller
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced Personally Known
(S gnature of Notary Public- State of Florida)
No. Ht� a649�4 2—(5eal) c State of Florida
Commission
rrission
HH 064862Z312024
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/21