HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �/ff�
Permit Number: NO J DUy
Date:
SCANNED
3 ..
BY
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St. Lucie County
Building Permit Application
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: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 8421 S US HWY 1 (TINT CITI 8445)
Legal Description: WCE CJJICEIS IB ]fiaOplR]TINT PMTOFLO E. SANDTW AF:BEG AT .M'IUER S.M ULOT6RURSVDM31!.UN40SECEA66 FT. T1 SWOEG 26 M14In SEC W3. FT TH NI]
"IG I M'.N:a SEC W=.F_T1N69 DEC W t] N<t SECW1<2ATFT.THNWDEGWAIW 19 SEC E2,S TTON U SO LOT]. THELYALGSDNLKM.]]"TO\'/RM19USR STND PO&LECCNIDFT.IaTZACIIOR]6/a21521
Property Tax I D #: 3414-501-1905-050-4
Site Plan Name: TINT CITI
Project Name: TINT CITI
Setbacks Front Back:_
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
16,
CTION INFORMATION:
UHVAC L =1 Gas Tank [_JGas Piping
ZElectric Ej Plumbing" !_._)Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 2300
Shutters Windows/Doors
Generator 0 Roof = Roof pitch
S Ft. of First Floor: _
Utilities: Sewer D Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name St Lucie Palm Plaza LLC
Name: Donald B Green
Address:23 Chauncey PI
Company Don Green Electric
Address: 1305 W 1st Street
City: Woodbury State: NY
Zip Code: 11797 Fax:
Phone No.
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-418-57.9
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: dongreenelectdc@gmail.com
State or County License: EC13007447
If value of construction is 52500 or more, a ntcuiavtu rvouce or wlnrrle]]1.e111c1!L 1� .may,...
SUPPLEMENTAL CONSTRUCTION LIEN LAW, INFORMATION-1 III
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:
BONDING COMPANY. _Not Applicable
Name:
Address:
City:
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
rnmmenring work or recording vour Notice of Commencement.
STATE OF FLORIDA I
COUNTY OF fv
The f tng instrumen was a) �knowledg before me
this ay of zoby
Type cT Identification Prc
Commission No.
Revised 07/15/2014
State
'OR Produced Identification
STATE OF FLORIDA E { I ^ I
COUNTY OFy�1�/1/ '1
The for Ding instrument q crowledged b ore me
this day of 2D �Y
Type of
JOY CHRISTINE COPELAND
MY cCommission No.
IXPIRES: JAN o5, 2020
of
OR Produced Identification
JOY CHRISTINE COPELAND
Ty COMMISq8§6ff948042
EXPIRES: JAN 05. 2020
nded through 1 si State Insumnc
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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