HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLI LE INFt MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; 3 Permit Number:
Building Permit Application
Planning and Development Services niunoZ) alon7 .4S
Building and Code Regulation Division A6
2300 Virginia Avenue, Fort Pierce FL 34982 Q.9NaH7p
Phone: (772) 462-1S53 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 10753 S US HWY#1
Legal Description: ST LUCIE GARDENS 12 37 40 BLK 4
PropertyTaxlD#: 3414 01-5004-300-4 Lot No. 4
Site Plan Name: GOLDEN CORRAL Block No. 4
Pro)ectName: FEEDER REPLACEMENT FOR GOLDEN CORRAL
Setbacks Front Back: Right Side: Left Side:
REPLACING CONDUCTORS THAT WERE STOLEN. 4-350 MCM IN EACH OF 4-CONDUITS.
CONDUIT AND GEAR ARE EXISTING.
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Elm
wor t to a er I e un er this perm - c ec a apply:
0HVAC E] Gas Tank ❑Gas Piping _ Shutters E] Windows/Doors
IElectric 0 Plumbing []SprinklersE Generator 0 Roof
Total Sq. Ft of Construction: So. Ft. of First Floor:
Cost of Construction:$ 13,600 Utllities:uSewerQSeptic Building Height:
NIMBI IS
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Name S
Name.,JAMES P WILLIAMS
Address:i?On lAf-d^ Sk'fre<'
Company: ARLINGTON ELECTRIC
City: l%iwC-.r- State:4Q
Address: 3251 SE DIXIE HWY
City: STUART State; FL
Zip Code: 8O203 Fax:
Phone No. 7W-22A—3)4D
ZlpCode: 34997 Fax: 772-287-2380
E-Mall:ri�nr�r &m. eelpj
Phone No.772-287-1353
E-Mail: gregg@arlingtonelectricinc . com
Fill in fee simple a Holder on next page (if different
from the Owner listed above)
State or County License: EC0000127
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City: State:
Zip: Phone:
COMPANY: _Not
Name:
Address:
City:
Zip: Phone:
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St. Luc a County makes no represegtatlon that is granting a permit will authorize the permit holder to build the subjects ttructure
which �s In conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict orprohibit such
structure. Please consult with your Home Owners Association and review your dead 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
7n 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
_ SlenattgVe of Owner/ Lessee/Agent
STATE OF FRIBA- Co L O fi 40-Z
COUNTY OF Dig-_nI ViDf_
The forgoing Instrument was acknowledged before me
this
p� ay of 20 I7 by
0&s Z Ltd Cyr —
(Signature of Notary Public- State of-Fiartda-) CWV/ u
Personally Known - OR Produced Identifcation ,
Type of Identification Produced
Commission No. 1R 9v�O�MTAR
Revised 07/15/2014
REVIEWS
FRONT
COUNTER
s
Sign ture f Contractor/License Holder
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing Instrument was acknowledged before me
this � day of _ 1 20 17 by
JAMES P WILLIAMS
of Notary Public- Statekbf Florida )
Personally Known OR Produced Identification
Type of ldentificatio Produced
ID 19994023997
ZONING SUPERVISOR PLANS
REVIEW REVIEW REVIB%
IL �
r0
CHRISTINE M. SCUUUrna
Nntary Public - State of Florida
My Comm. Expires Aug 2.'ZUr
Ccmmission # FF 38793
Bonded Thrbugh National Notary
VEGETATION I SEATURTLE I MANGROVE
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INITIALS