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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED %� Date: \ O • \\-O• \S. SCANNED Permit Number: I —© bc) BY ON= "'S St. Lucie County RECEIVE[ o Building Permit Applicath in OCT 16 2019 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 VIrginioAvenue, Fort Pierce FL 34982 - Phone: (772)462-1553 Fax: (772) 462-1578 Commercially Residential L-ow. VDUI, A*E Property Tax ID q: _ :6 !' 22 12 `• R°im / - 000 " Q Lot No. Site Plan Name: Block No. Project Name: 7OLLRf (2-EN1r12AL DETAILED DESCRIPTION OF WORK: I Low Voltage Wiring Existing Building Permit #SLC-1906-0472 CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: Mechanical _Gas Tank _Gas Piping. _Shutters —Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ 6C -00 Utilities: Sewer _Septic Building Height:_ OWNER/LESSEE: CONTRACTOR: Name MES SN E Name: Jimmy f; Pnnp Address:`I? 0 3b* 130 Company: Power Electric Construction, Inc City- t>,�t�+fNE State: PfL Zip Code:'3&s7/0 Fax: Phone No. 251-ItQ-OR Address: 6588 Collier Road. city: St Augustine State; Fl ZpCode: 32592 Fax: Phone Nci 904-626-1425 E-Mail igp6588kmp(a)_msn.com E-Mail:4APN M (* n'IrQ I-1,5NET's t-k.EfL, Co Fill (nfee simpleTitle Holder, onnext page (if different from the Owner listed above) State or County License EC-0000994 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNERIENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State:_ Zip: Phone City: State:_ Zlp: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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 commencedprior to the Issuance of a permit. St: Lucle Count makes no representation that Is granting a permit will authorize thegermit hold%to build the subject structure which is incon ict with any applicable Home Owners Association rules, bylaws or an covenants t at may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.. Inconsideration 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 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 TORECORDA 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 J013 SITE BEFORE THE FIRST INSPECTION. IF YOU INTENDN FINANCING, CONSULT WITH YOUR -LENDER OR AN ATTORNEY BEFORE RECORDI R F COMMENCEMMFr Signature of Owner/Lessee/Contractor as Agent for Owner""` S y1ture of Contractor/License Holder STATE OF FLORIDA STATE OFFLORIDA St JDhfls -COUNTY.OF.----- - -- - COUNTY OF The forgoing instrument before The f r instrument before was acknowledged me'.' . this_dayof by oIng was acknowledged me this September 9 .20_ ��..� _dayof .20j3by Jimmy G Pace - o Name of person -making statement. Name of person making statement. {, Personalty Known _ - 'OR Produced Identification---PersonallyKnown XX ORProduced IdentificationType of IdentificationTypeof IdentificationProduced ��, Produced f440.1 - (Signature .of Notary Public -State of Florida) _ _ -, (Signature of Notary Public-S a of Florida) -t� Commission No. (Seal) ; Commission No. GG012676 (Seal) ar REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 1///19 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Name: Address: City: State:_ Zip: Phone FEE SIMPLE TITLEHOLDER: —Not Applicable Name: Address: City. Zip: Phone: MORTGAGE COMPANY: —Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Address: Zip: Phone: UW[Mt:K/ LUN 1 KALI UK AFFIUVI V 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 ¢rantine a permit will authorize the permit holder to build the subiect structure swcZure. riease consort wim your name uwners Association and review your oeea for any restrictions which may app 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 concurrenry 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT -VWMYOUR LENDER OWM ATTORNEY BEFORE RECORDING YOUN-ROTICE OF COMMENEEMENT' Si ature of Owner/Lessee/Contractor as Agent for Owner Sig reof Contractor/License Holder STATE OF FLCOUNTYOFORIDA STATE OF FLORIDAS� L Unh Ill , COUNTYOFh IvS The fo ping instru ent was ackgowe dged efore The forgoing instru ent was acknpwledg bre me efo this day of ClU b'+/ 20�by this �day of tie rer 201 by C. Name of persigh making statement i; $ S Name of persoMmking statement. S Personally Known OR Produced Identificat"ram' Personally Known OR Produced Identification Type of Identification = a. » o Type of Identification Z Produced„ Produced z a a 0 iK w z •r (Signature of Notary Public -State o Florida) " (Signature of Notary Public- State Florida ) A �e Commission No.�6 t� j Z � •%� (Seal) �� � oof Commission No. 4 6 6124/(� (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. 2Ii/Ep