HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �'�� • I � Permit Number: ISO'. /
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RECER'_D SEP 10 20
Building Permit Application AUG 3 1 2015
Planning and Development Services SCANNED
Building and Code Regulation Division BY
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Count
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Kesyidential
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 900 Prima Vista Blvd, Port St. Lucie, FL
Legal Description: RIVER PARKUNIT 3.SECON➢ REPLATTRACTALESSWLY PART TO PORT SILUCIE BANK AND LESS BEG AT N LI EATON'S DR AND W LrENTRADA AV,
M WLY AL060N11325]S FT TO FOD,TH C TWLY IM FT,MMY IM.42R,TH MY M0F7,7HSLY191.W FT10 P MDUSS10 FIRST FED 1A10:WORMASd OR 30&Sll(MAP5 S)(0R35mml
Property Tax ID #: 3419-525-0001-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Tie-in new switch gear to existing emergency generator
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install new electrical switch gear and connect to existing emergency generator
CONSTRUCTION INFORMATION:
Aaditionalworktobe ertormea unclert ispermit-check all apply:
❑rtVAC Gas Tank []Gas Piping _ Shutters - ❑ Windows/Doors
Electric Plumbing Sprinklers Generator 11 Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor- 10,500
Cost of Const�ucfion: $ 18,000 - - - -- Utilities: — Sewer Septic-- Building Height: 45'— --- —
- —
-OWNER/LESSEE: _ _ �__ _ �„ - -
CONTRACTOR:- —p=
—
Name'Indian River Holdings, LLC- _
Name: " Offer" L--
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Company: - UtC,-d
Address: 309, S.E. OSCEOLA STREET, SUITE 105
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No. 772.223.3646
Address: rC1
bruVY
City: -__ PS L State: FL
Zip Code: 149 c5 2 Fax: i i -11fo _459t�
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Phone No. -17?- - -1" - 1.2 9
E-Mail: W b `1 v (f Fi'vl Label ISCU4 %, nC
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County LicenseC
If value of constructionis $2500 or more, a RECORDED Notice of Commencement is required.
N.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: wojaavakaAs rotas Name:
Address: W3 East 51hStreet Address:
City: Swart State: FL City: State:
Zip: 34994 Phone: 772.2e8.8696 Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: 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 recordoeWnd posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with I9t1 or an attorney before
_ SignaCure of Own r/ Lessee/Agent aianartife or uunrraetop ucerre numer
STATE OF FLORI A / STATE OF FLORIDA � A I r
COUNTY OF /�A2YSN COUNTY OF J" `0." 1 1
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this /071"bay of C7:, l 1 20 i_5_by this _ day of p U 5f • 20 f,� by
1A 1 �c dam/ Ajenr
(Name of person acknolviedging) I I (Name of person
I
of Notary Public -State of Florida )
Type -of -Identification Pro cco' gary.p„yp „f�„ Type of Identlflc
f -- , Gmce m A Warner-
Commission No. My aloe EE1274e1 Commission No.
0 np Exp>ts0 is
Revised 07/15/2014
State of Florida )
Notary Pudic Sfoto of Florida
April Larawey _ ___
Exolros I lr20r2e15
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SUPERVISOR
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VEGETATION
SEATURTLE
MANGROVE
COUNTER
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