HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPULAULL INFO MU51 6h LOMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 09/24/2015 Permit Number:
• SCANNED
Building Permit Application St. Luce County
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 Residential
PERMIT APPLICATION FOR:
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PRKOPOSEb�MPROV,EtVIENT
Address: 3310 Orange Avenue, FT. Pierce, FL 34947
Legal Description: 83540 NE 1/4 of SW 1/4 LESS RD RSW AND LESS AS IN ORD TAKING CA#82-59-05-8 80 AC
Property Tax ID #: 2408-311-0001-000-0
Lot No.
Site Plan Name: Block No.
Project Name: FP&L Power Bollard Electrical Service
Setbacks Front Back: Right Side: Left Side:
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FP&L Powere Bollard Electrical Service: New 200A single phase service.
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Additional.work to e e orme un ert ispermit�ec a apply:
❑WindowsJDoors
HVAC 6asTank ❑Gas Piping _Shutters
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✓�Electnc ` D Plumbing ❑Sprinklers ❑ Generator ❑ Roof
Total Sq. Ft of Construction:. S of First Floor:
Cost of Construction $ Utilities:Ft. Sewer ❑Septic Building Height:
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Name E(onda Power -and Light '_ Name: Carlos A. DeJesus
00`tJmvers(se'Blvd JB/CRE "" Company: Crown Electric of South Florida
Address;
Juno fBeaeh State:FL Address: 11621 SW 22nd Court
City. —
'Fax N/A % m City: Davie State: FL
Zip Codes 309 _
No 58301x3089 .: Zlp Code: 33325 Fax; 954-625 6967
Phone
eetccesar I@ { Icoma _,, ;i Phone No. 954-625-6440
E-Mali:
F II n 8 simple TiNe Holder��on`ne><t page (tf different E Mail: arias@crownelectdcflorida.com
Tran�thEQ►VnEtlisted ab4�e) `r$ State or County License: EC13001B09
a
HvsNr~ of "'ctf niT$25UOar more "a RECORtiED„Notice of tommeneemerlt is required.
SUPPLtVIENTAI'"CbNSTRUC7IC��1 LINytAWi1NPORMAIION
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DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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,
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
work or recKding your Notice of Commencement.
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—Signature of Owner/ Lessee/Age Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
,COUNTYOF Lee COUNTY OF ago ad
The f�j o' g ins ent was ackn�QwI dged tore me The fore ing instrument wasLacknowledged bet ore me
,this d! day,o B C. 20,LJ by IN �dayo !/f� 20 �y
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(Name bf person acknowledging) Zperson acknowledging)
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r Wally Known, = OR Produ dentification— Personally Known. OR Produced.I. otificat;on ,•_
type of Identification Produced ` ': Type of Identification Produced
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G4� On NN S Commission No +(�NTl�IIaYNN
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CDM Y MY COMMISSIION a FF231361
a EXPIRES May 17 20t� EXPIRES May 17, 2019
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