HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED '
Building Permit Application DEC 12 2018
Planning and Development Services .
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
FPRnPn,;Fn`imPRnVFMFNT hnC.ATION:=
Address: 6018 Adonidia PL Fort Pierce, FL 34982
Legal Description: PALM GROVE S/D BLK L LOT 32 (0.16 AC) (OR 3760-591' 4129-216)
Property Tax ID tt: 410-503-0370-000-6
Site Plan Name:
Project Name: MCNALLY, THOMAS F JR
Setbacks Front Back:
Right Side:
I INSTALL ROOF MOUNTED SOLAR PV SYSTEM.
Left Side:
Lot N0�
Solo j�io.Zounty
CONSTRUCTION INFORMATION",
Aclaitiona I worK to De Performed unclert
is perm it —c ec
all apply:
11HVAC Gas Tank
Gas Piping
In _Shutters
Windows/Doors
P1Electric Plumbing
Sprinklers
ElGenerator
Roof Roof pitch
Total Sq. Ft of Construction:
ScFt. of First Floor:
Cost of Construction: $ 15340
Utilities: Sewer D Septic
Building Height:
`01NNER%�ESSEE':�
�(fONTRA`CTOR
Name MCNALLY, THOMAS F JR
Name: DANIEL YATES
Address:6018 Adonidia PL
Company: GULF ELECTRICAL SERVICE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: N/A
Phone No. (772) 409-4087
Address: 3121 INDIAN RIDGE PL
City: LAKELAND State: FL
Zip Code: 33810 Fax: N/A
Phone No. 727.218.9407
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: BAPROJECTSOLUTIONS@GMAIL.COM
State or County License: EC13001255
Ifivalue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
��.
IC NSTR471(pN LIEN.IAW INFORMATION
.ate. �; � A _
�.:
DESIGNER/ENGINEER: x
Name
Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address.
Address:
City:
Zip: Phone:
State:
City State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature o Owner/ Lessee/Contracto as Agent for Owner
Signature o ontracto License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
^
this It day of 1JQ..0 2018 by
this It day of tOtL 2018 by
�O :] AA (_ a
'C) C_K.A1 u a k-3
Name of person making stateme t
Name of perso making statement
Personally Known OR Produced Identification x
Personally Known OR Produced Identification x
Type of Identification
Type of Identification
Produced DL
rt, IQ
Produced DL
(Signature of Notary
(Signature of Notar Public
0. Notary Public State of Florida
�^
tp' eoti Notary Public State of Florida
Tir�offiGoffey
Commission No. TimolhtfEoffla,Y
- My Comdrtlt��i `ssioo((ii GG 248671
Commission No.
_ . My<C5M1iMission GG 246671
of Expires 061152022
or r�°� Expires 06/15/2022
REVIEWS
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ZONING
SUPERVISOR
PLANS
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MANGROVE
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17