HomeMy WebLinkAboutbuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEi;
Date: 4/12/16 Permit Number:
RECEIVE®
Building Permit Application Ap®1 g 2016
Planning and Development Services APR
Building and Code Regulation DivisionQ�L��
2300 Virginia Avenue, Fort Pierce FL 34982 (i
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial 0 Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 6099 Shinn Road Port St Lucie; FL 34952
Legal Description: 7 36 39 S 112 OF N 1/2 OF SW 114 AND N 112 OF S 112 OF 1/4-LESS E 50 FT AND LESS W 43.5 FT- (77.22AC) (OR 3735-62)
Property Tax ID #: 3307-313-0000-000-2 Lot No.
Site Plan Name: Block No.
Project Name: PUMP HOUSE SERVICE RE -BUILD
Setbacks Front Back: Right Side: Left Side:
DETAILEDDESCRIPTIONOF WORK:
RE -BUILD OLD DAMAGED 100A 3 PHASE -SERVICE ON POLE AT EXISTING PUMP HOUSE.
CONSTRUCTION INFORMATION:
Additional work to e nertormed under this permit —check all apply:
❑HVAC0 Gas Tank ❑Gas Piping _ Shutters
R] Electric ❑ Plumbing []Sprinklers ❑ Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 1300.00
S Ft. of First Floor:
Utilities:Sewer ❑Septic
❑ Windows/Doors
❑ Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameRJM DEVELOPMENT, LLC
Name: JAYES L REISNER
Address:8530 SW JAYME WAY
Company: JIM REISNER ELECTRIC, LLC
Address. 4886 SW HONEY TERRACE
City: PALM CITY State FL
Zip Code: 34990 Fax: 772-288-0983
City: PALM CITY State: FL
Phone No.772-288-0951
Zip'Code: 34990 Fax:
Phone No. 772-260-0732
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail: jamesreisner@bellsouth.net
from the Owner listed above)
State or County License- EC-0002442/ SLC 20125
If value of construction is 52500 or more, a RECORDED Notice of commencement is requires.
SUPPLEMENTAL CONSTRUCTIM-LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _, Not Applicable
Name: _
Address:
City:
Zip:
Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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,
accessorystructures, 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
com ci g work or recording our Notice of Commencegj! r `� n
r- -
S ture of Owner/ Lessee/Agent
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