HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,t
Date: (Q'��0'� G SCANNEDPermitNumber:
BY
St. Lucie County RF:H C , FPfF
r
- -- Building Permit Application JUN Y 6 2Gi7
Planning and Development Services
Building and Code Regulation Division . PERM11—i-INIG
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Electrical i'
PROPOSED` IMPROVEMENT LOCATION:
Address: NW BUTTONBUSH CIR
Legal Description: HARBOUR RIDGE -PLAT 7-BUTTON BUSH CIRCLE (ROAD) (OR 714-227)
Property Tax ID #: 4426-802-0001-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
Remove (4) existing and provide and install (4) new lighting standards as specified with associated
concrete bases.
CONSTRUCTION, INFORMATION: III
HVAC L J Gas Tank LJGas Piping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 15,000.00
Shutters ❑ Windows/Doors
Generator 11 Roof = Roof pitch
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name Bayberry Village HOA Inc
Name: Michael Dale Ault
Address'�� P'� /a&OD l4aa axx&e ;Lj.
Company: Ault Brothers, Inc. Electrical Contractor
City: Stuart State: FL
Zip Code:-0499T 3 q 9 °O Fax:
Phone No. ?? �— 334- 300o
Address: PO Box 1528
City; Port Salerno State: FL
Zip Code: 34992 Fax: 772-283-0321 -
Phone No. 772-283-5520
E-Mail: c:L (-.s"r=-Qk', 4 to &Zq_•
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: aultbros@yahoo.com
State or County License: EC0001693
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _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 l 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
as
STATE OF FLORIDA ' ,.^. - STATE OF FLORIDA<,
COUNTY( 75+, l l li COUNTY OF - L(t C t
The forgoing instru ent was acknowledge efore me The 1fo'^rgoing instrument was acknowledged before me
this -Eday of � 20 Mby this � day of ...dt,c.r�x 20 a by
(Name of person acknowledging ) (Name of person acknowledging)
tz_ 2, . J .
Notary Public -State o orida) (Signature of Notary Public -State of Flo ' a )
Personally Known /10 OR Produced Identification Personally Known OR Produced Identification Y
Type of Identification Produced Type of Identification Produced L D LL
Commission No. ICY gN�53�{ HFAIHER HARNN TQPmm sion No. rr q I NCTIMER HNIRINC
iR' COA41715SION S F 942a74 .i A} ,- P•!Y 00MAUSSION OFF
F�CPIRES: February M1, 2020 fw'.y.I EXPIRES: February 2
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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(J'T
COMPLETE
INITIALS
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