HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED'
Date: 3/31/15 Permit Number:I504 0017.
RECEJ!.7D APR 012M
Building Permit Application SCA
Planning and Development Services "
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x
NNED
BY
St. Lucie County
Residential
PERMIT APPLICATION FOR: Electrical III
1
PROPOSED IMPROVEMENT LOCATION:
Address: PGA Clock Tower at Commerce Center Parkway and Reserve Boulevard Ol f 99- (!0 rvt ryt elt�CV__
Legal Description: P,r ��• 1 5=—
Property TaxID#: 35.7.1—�\�—af305—dt0'a Lot No.
Site Plan Name: Block No.
Project Name: Clock Tower lighting
Setbacks Front Back: Right Side: Left Side:" '
DETAILED DESCRIPTION OF WORK:
Remove (2 ) existing 400 watt metal halide flood lights and replace with LED flood lights, install
underground conduit and wiring for (1,0 ) LED landscape lights With ( 10 ) GFI receptacles installed
in the mounting posts at each palm tree.
CONSTRUCTION INFORMATION: I III
UIIOI WV1N LV UC CIIVIIIICU
HVAC Gas Tank
UIIUCI LIII] FICIIIIIL-L.IICI.IL OII
❑Gas Piping
pF1FllY.
_Shutters
❑
Windows/Doors
Electric ❑Plumbing'
[]Sprinklers
❑Generator
❑Roof
Total Sq. Ft of Construction:
Cost of C struction: $ 6920.00
sh
S fF
��'t.%, FirstFFl�'''jjloor:_
UtiliN�e Sewert*JSeptic
Building Height:, '
OWNER/LESSEE;
CONTRACTOR:
.Name PGA Village POA/ c/o-LANG
Name: John Angarola
Address: 2140 NW Reserve;Park Trace
Company: Southeast Electrical^and Maintenance Corp
City: Port St Lucie c State:F�
Zip Code: 34986 ` Fax. 7 72-467-0127
Phone No.772-467-1503 /
Address: 721 SE Sweetbay Ave iw
City: Port St Lucie-•,,_ State: FL
Zip Code: 34983 /< Fax: 772-879-7898�—'
Phone No. 772-879-7010 °
E-Mail: pgavillage@langmanagement.com
Fill in fee simple Title Holder on next page ( if different_
from the Owner listed above)
E-Mail: seemc96@aol.com
State or County License: EC13003327
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:'
DESIGNER/ENGINEER: NotApplicat
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
"Zip: Phone:
BONDING COMPANY: x Not Applicable
Name: _
Address:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation fhavis 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 Dr 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 wjth lender or an attorney before
e commenting work or recordinvour Notice of Commencement. 0 � /
�t
s
' natur f Owner/'Lessee/Agent
Signa of Cont r or/License Holder,
ATE OF FLORIDA
COUNTY OF 5-' . 1- J c C
ST E OF FL IDA .
COUNTY OF
The forgoing instrument was acknowledged before me
0%
The forgoing instrument was acknowledged before me
'20
this day of cc \ 20 Lby
this day of Sk P C s \ by
�kr�arolCk
So\",r. 0'�r 61A
(Name of person ackno ledging) °
(Name of person ackno�iledging )
'
..r
(Signature of Notary Pub]Pub]kL State of Florida-)" ���`� �k��
(Signature of Notary P.0 ic- State of Florida )
5
p �e �
Personally Known OR Produce e!At+ RR,�e- �
Sc rsonally Known OR Pro uced i0%\1 Na
Type of Identification Produced !7 +a d H°
Typed ((dentification Produced *a * 6N e
rJ
Commission No. — L sj�aido
1 N6''N F,+9`� EE \N�a�9 Ps
Commission No. % "
���m�' _
0ooay
�IQ6emajs
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS