HomeMy WebLinkAboutBUILDING PERMIT APPLICATION (2)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone; (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line �j �y r�
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Address:6501 S Ocean Drive . Jensen Beach, F1 34957
Legal Description: 8/09/15/16/17/21/22 36 41 All Fract Secs 8 and 9 LYG W of Ala
less N436.71 FT. and all fract sec 9 LYG E of A1A Less N 736.71 FT and all
PropertyTax ID fl: 3508-111-0002-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Installation of 20AMP Circuit
Setbacks Front Back: Right Side: Left Side:
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Installation of 20AMP Circuit
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wor to e e orme under is permit— cec a apply:
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JHVAC Gas Tank []GasPiping_Shutters ❑Windows/Doors
gElectric OPlumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: ScFt. of First Floor:
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Cost of Construction: $ 13,561.00 Utilities- r ELI Septic Building Height:
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Name Florida Power and Light Co.
Name: Tim Onnen
Address:700 Universe Blvd.
Company: Meisner Electric
City: Juno Beach State: FL
Address: 220 NE 1st Street
City: Delray Beach State: FL
Zip Code: 33408 Fax:
Phone No. (561)301-3089
Zip Code: 33444 Fax: SGJ278-8397
E-Mail:-eric.cesaretti@fpl.com
PhoneNo561-278-8362
Fill in fee simple Title Holder on next page (if different
E-Mail: geofer@mei.cc
State or County License: EC0000418
from the Owner listed above)
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
EER: X
Name:
Address:
City: State:
Zip: Phone:
SIMPLE TITLE HOLDER: X
Name:
Address:
City: _
Zip:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
COMPANY: XNot Applicable
Name:
Address:
Zip,: Phone:
I certify that. no work or installation,has commencedprior to the issuance: of permit.
St. Lucie County. makes no representation that is granting.a permit.will authorize the ermit holder to build the Subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or'angcoiienants that in restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, In all respects, perform the work
in accordance with the approvedplans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to, another non-residehtial,use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded, and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recording our Notice of Commencement.
P. �evn P. I-Iughes a • s
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder /�
STATE OF FLORIDA STATE OF Oe c.M y3�-a CP COUNTY OFORID ` n + �,
COUNTY OF &,j
The forgoing instrument was'acknowledged before me The for Ing instrument w s acknowledged before me
this -29T§fay of .NdtV 20 tT—by thisday of ll 20 IS by
1 KEV)N P. NUG'ut<.$
(Name of person acknowledging )
(Signature of Notary Public -State of Florida)
OR Produced Identification, -
Type of
Commission . jf'l
.w•>Ga,, DENISE A. COMOLLI
.`, Notary Public - StIReglllnrlda
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y amm.:ExplreS May. 4, 2018
„�.�
Commission#FFtttasv
Revised
Personally Known f/ OR Produced Identification
Type
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
5EA-TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS