HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE LOMPLETED FOR APPLICATION TO BE ACCEr i'rD so q
Datej: 10/22/2020 Permit Number: ��� N
Building Permit Application
{�ning and Development Services
Iilding and Code Regulation Division Commercial NO
)0 Virginia Avenue, Fort Pierce FL 34982
one: (772) 462-1553 Fax: (772) 462-1578
Residential YES
DETAILED DESCRIPTION OF WORK
(ELECTRIC -UNDERGROUND CONVERSION -INSTALL NEW COMBINATION METER CAN -RUN 80 FEET 2" CONDUIT UG
ELECTRIC -REPLACE CURRENT 200 AMP MAIN BREAKER PANEL !%16 Am j a
ELECTRIC -INSTALL HARDWIRE FIRE/SMOKE ALARMS �—rQ FPS..
New Electrical Meter Second Electrical Meter f r®C°-L
CONSTRUCTION INFORIVIATLO:N s.,
Additional work to be performed under this permit — check all that apply:
P p Pp Y�
_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: $ 2000.00 Utilities: —Sewer _Septic
Building Height:
OWNER/LESSEE:
_3
CONTRACTOR:"
Name JAY BUNK
Name: JAZ BUNK 11-101
Company:
Address: PO BOX 880011
City: PORT ST. LUCIE State: _
Zip Code: 34988 Fax:
Phone No. 772-979-0468
Address: PO Bbk880011
City: PORT ST. L E 000'State: FL
Zip Code: 34983 Fax:
Phone No 772-979-046
E-Mail DINGS@U NT1.0
E-Mail: DINGS@UNDENT1.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or Cou License OWNER UILDER
If value of construction is Z5UU or more, a KtLUKUtU Notice of l.ommenLernCnL is MgU11 au.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone:_
of Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Applicable
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 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
. ;+h lnnrlor nr on n++nrncv knfnrn rnmmonrinv %hinrlt nr rprnrriina vnur Nntirp of Cnmmpnrpmpnt_
Sig re of wner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLO�ft-(Ac'�
STATE OF FLORIDA
COUNTY OF .
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Pree ce or Online Notarization
Physical Presence or Online Notarization
day 2020 by
thi day of f 2020 by
this of
\aU RU41-1
Nam f person making statement.
Name of person making statement.
Personally Known OR Produced Identification lk
Personally Known OR Produced Identification
Type of loAtification
1-1
Type of Identification
Pr ducetL Y
Produced
(' natu f ota y ubll
Notary Public State o� Florida
(Signature of Notary Public- State of Florida )
+I' a K eig Bogert
Commission No.a��(OO ,� µy� .1 g;l sion GG 27aoo3
Commission No. (Seal)
a;d' Expires 1110512022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 5/ b/ LU