HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONs
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: __2 0_1 Permit Number: 3
RECEIVED
Building Permit Application FEB 16 2018
Planning and Development Services
Building and Code Regulation Division ST! Wele &Aunty, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xx Residential
PERMIT APPLICATION FOR: Electrical
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Address: 7550 Pruitt Research Road, Fort Pierce, Ff. 34945
Legal Description: New Construction of 9,884 Sq Ft Building
Property Tax ID #: 2314-800-0001-000-3
Site Plan Name:
Project Name: Sunshine Kitchen
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
'DETAI`LED.QESCRIPTION :OF UVORK- "ln_
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CONSTRl1CTION.INFORMATION: 5' a
_._ _.... ...._ ..... �.a--ll_ .♦
Additional wor to e e orme unclert is permit— cneCK all apply:
E1HW —Gas Tank Gas Piping _Shutters Windows/Doors
EJElectric 0 Plumbing Sprinklers 11 Generator Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $
S Ft. of First Floor:
�_
Utilities: Sewer Septic
Building Height:
OWNER'/,LESSEE
r
CONTRACTOR
Name
Name: David Nelson
Address: i u>✓
Company: Electraserve, Inc.
^``
V.7t City: �m IPXQIo. Stater
ZipCode:'3ygQ2 Fax:
Phone No.-1-12.r L4(o2 , I q0
Address: 901 Northpoint Parkway Ste 301
City: West Palm Beach State:Ff
Zip Code: 33407 Fax: (561) 720-2253
Phone No. 754-205-2075
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: admin@electraservewpb.com
State or County License: EC13004120
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
in
which is 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 1 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 mayresult in ur paying twice r
improvements to your property. A Notice of Commencement must be r ded a osted on th site
before the first inspection. If you intend to obtain financing, consult . h r r attorney f e
commencingworkor recur in our No ' e of Commencement.
A—J 046
,
Rev.8/2/17
SUPPLEMENTAL CONSTRUCTION"LIEN LAW INFORMATION
� -�-�•
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name: oawa Nalscn
Address: Pruitt Research Road, Fort Pierce, FI. 36965
Address:
City: State:
City: westPa�maeach
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable _BONDING
COMPANY:
_Not Applicable
Name:
Name:
Address: 9a1 NOMpoint Partway 5[e 397
Address: '
City:
City:
Zip: Phone:
Zip: Phone:
Signature of Ow er/ ssee ��Y�`r �Cfor���A�g _yRy{• ot
-tg: 3�t of Contractor/License Holder
STATE OF FL ID
STATE OF FLORIDAn�� Q
000NTY OF ST. LLtGt
_ _ _ _-
COUNTY OF ii I�i�GI�'
-The-forggjpg•instvurnentwas acknowledged before me- �-- --=The.forgoing=mstrument.wasacknowledged,before.me..._,_,_,._.
this �dayOf iNiA¢L({- .20J by
this? day ofPeep,ay 20_11 by
�t9 1jV.1`��dOry
�2t� Yl/leewF
Name of person aking statement
�
Name of person making statement
Personally Known OR Produced Identification
Personally Known �x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur rNeYa - Ala � Florida
(Signature of Notary Public- State of Florida)
Commission No. PutQg9UA)e of Floritls
•"`°��� ; NolatY Rnblic • 8 �G 0611173
CommissioComeHl}02Y
pgooyNotary
�GregorySKraumm.iresMyCommissionFF2325t4
0 �PIros -
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05179/Y019
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