HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE l
Date:
�J FOR APPLICATION TO BE ACCEPTED t
SCANN Permit Number: 1gM-(0Ll'ok0
ED
BY
St. Lucie Counrt_
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
PERMITTYPE: Electrical
PROPOSED ]IMPROVEMENT LOCATION:
Receiv,
Per FFg 20 ?019
mitun9 D
St.tulle Ccunt e' t
ty
Address: juuu l;urtls King tilvo.t-t Fierce, rl ( I reaAAsurre L;oast International Airport)
Property Tax ID #I: I q 951 • 1 1 06C �' U (�/ Q Lot No.
Site Plan Name: Block No.
Project Name:
DETAILEDDESCRIPTIONOFWORK;'
Electrical service for new sign at airport entrance. Sign by Don Bell Signs
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 12,987.00
Sq. Ft. of First Floor:_
Utilities: _Sewer _Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE '" = ' '
Name 5. LLtaie. Cea.n4Y
r.
CONTRACTOR__'
q..
Name:Thomas Granims
Address: a 3bD Vi¢_gj - 0.ae
Company: Paragon Electric od Vero, Inc.
City: 15ma{ Pin2ee— State: ML
Zip Code: '9"4?A Fax:_
Phone No.-772 - q(4-1553
Address:9120 16th Place
City: Vero Beach State:F1
Zip Code: 32966 Fax: 772 299 5167
Phone No772 569 8961
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail paragonelectric@bellsouth.net
State or County License EC0002731 /
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTQC:CONSTRUC LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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
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
commencing work or r!jEorcllng your Notice of Commencement.
SignatLlre of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �g,d /t?'✓.n_
COUNTY OF T i4,,( Jive.
The forgoing instrument was acknowledged before me
this _41 day of 20_1t by
The forgoing instrument was acknowledged before me
this _J/ day of �, 20,1f by
awwwi m s
Name of person making statement.
Name of person making statement.
Personally Known — — OR Produced Identification
Personally Known iv/ OR Produced Identification
Type of Identification
Type of Identification
Produced
oduced
•Ya%n/'y, KRISTENBREWER
if GG 046189
commission
a- Expires November 9. 2020
••"'+""'•• KRISTENBREWER
08 +• £ 8
I nature of N �it$cbhes ary Pub + N*ember9,2020
/ �k �BagedTNuTioyFainlwiraxe BOP7BS701e
Commission No. R o
(Signat re f otary Public- to I
Commission No. �v 9 av (Seal)
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