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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: December23,2015 Permit Number: %S1a• 0* X
bUANNED
By RECEIVED
St I_uciecounty
Building Permit Application DEC 2 3 2015
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 XX Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: Lennard Road at Bromeliad Circle (Located West of 8572 Gallberry Circle @ Savanna Club)
Legal Description: Savanna Club Plat Four, Parcel D1 (51.173AC) (OR935-17811383-2323)
Property Tax lD #: 3425-704-0014-000-6
Site Plan Name:
Project Name: Lennard Road Connection to Bromeliad Circle
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION: OF WORK:
Lot No.
Block No.
Install 60 amp Electrical service for the security gate control system being installed on Lennard
Road. Service will be located approx. 460' South of where the new Lennard Road Extension will
connect to Bromeliad Circle in the Savanna Club, St Lucie County.
CONSTRUCTION INFORMATION:
mona wor to e e orme under tispermit—check all apply:
❑HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing []Sprinklers ❑ Generator ❑ Roof
Total Sq. Ft of Construction: S Ft. of First Floor: _
Cost of Construction: $ 27,800.00 Utilities: Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR: ,
Name Savanna Club HOA, Inc.
Name: J. Pete Williams
Address:3492 Crabapple Drive
Company: Arlington Electric, Inc.
City: Pt. St. Lucie State:Fl_
Zip Code: 34952 Fax:
Phone No. 772-418-6315
Address: 3251 SE Dixie Highway
City: Stuart State: Fl.
Zip Code: 34997 Fax: 772-221-8814
Phone No. 772-287-1353
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: steve@arlingtonelectricinc.com
State or County License: EC 127
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable
Name:
MORTGAGE COMPANY: XX Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable
Name:
BONDING COMPANY: xx Not Applicable
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
_Sig ture o wner/ Lessee/Agent Sign ure o ontractor/License Holder
STATE OF FLORID4 STATE OF FLORIDA
COUNTY OF I�j/kIZT► ~I COUNTY OF �T1N
The forgoing instrument as acknowledgedbefore me
this. iayof_ 20 (�by
acknowledging
M.
re of Notary
yPublic- State of FI rida )
Personally Known 76 OR Pro duced,ldeatificatioea.
Type of Identffi atfo II ,STING m 9COGGINS
.' Public -
Notar State of Florida
Commission No. „n�' °= y 017
omm. Ex[>S.@81Au9 2. 2.--^
�• ,it ;e Commission # FF 38793
Revised
The forging fnstrum t was acknowledged before me
thiday of e� 20 � by
�J�O(L JA US
(Na a of person acknowledging)
NffaKure of Notary Public - State of Florida)
Personally Known OR Produced Identification
Type of Ide ll or�f E '=��
Notary Public - Sta(Ssbflorida
WTU mm. Expires Aug 2, 2017
Commission # FF 38793
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