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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: yKwo, 27,(� Permit Number: © 3 Planning and Development services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)_462-1553 Fax: (772) 462-1578 SCANNED RECEIVED BY St.Ludprnilnt 7, 2 S 2019 Building Permit Applicatin;� rmitting Commercial Residential X PERMITTYPE:ELECTRIC FOR EXISTING BARN PROPOSED IMPROVEMENT LOCATION: Address: 4560 S 25th STREET Property Tax ID ft: 2433-333-0001-000-6 Site Plan Name: Project Name: BARN ELECTRICAL Lot No. Block No. I DETAILED DESCRIPTION OF WORK: I NEW ELECTRICAL SERVICE, NEW INSIDE PANEL, NEW LIGHTING AND RECEPTACLES WIRING FOR EXISTING BARN I CONSTRUCTION INFORMATION: I Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: Cost of Construction: $ 2,425.00 Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: Pitch OWNER/LESSEE: CONTRACTOR: Name ITALIAN CASTLE OF THE TREASURE COAST Name: SHAWN FITZGERALD Address:4560 S. 25TH STREET Company: S & R ELECTRIC. INC. City: FT. PIERCE State: FL Zip Code: 34981 Fax: Phone No.678-517-7493 Address:967 NW 31ST AVE City: POMPANO BEACH State: FL Zip Code: 33069 Fax: 954-935-0901 Phone No 954-935-0900 E-Mail: SHELLYNJOHN90@GMAIL.COM Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail INFO@SRELECTRICFL.COM State or County License EC0002901 If value of construction is 52500 or more, a RECURDED Notice of commencement is regwrea. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Address: Zip: Phone: _Not 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ Lessee/Co tractor as Agent for Owner Signature of Contractor/License Holder ATE OF FLORIDA ������� STATE OF _ _ p PUNTYOF // COUNTY OFORIDA� G�(C'( The f Ding instru t was acknowledged before me this day of ✓ �/S f 76 by The for Ding instru nt was acknowledged before me this day of • 20 by r Y M 0 h Tz SyNJ n �-i ' C-e2M'p Name of person making statement. Name of person making statement. P son�KnownOR Produced Identification Personally Known V OR Produced Identification Type of Identification Produced Produced UtucoELHoclolt -:_ IAYC MMISSION#GG03 IRES:00tobe >ia EXPIRES: October 30, 20 '"•"„?:.�'� BondeE Thru Nota Pubf (Signature Voila uM*rSftbftmtlmtida 6 (Signat of Nota Public- State o on a T PMGp B Gallub Commissio a► i0ioz2 z1) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.2/7/19