HomeMy WebLinkAboutBuilding Permit Application � # G� rrr rrr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4 • 1J Ayr • Permit •,
r.
RECEIVED APR 3 0 2015
Building Permit Application
Planning and Development
Building and Code Regulation Division
I/Virginia Avenue,Fort Pierce F4 34992
Phone: Commercial
PERMIT a PPLICATION FOR! Electrical
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•• # 8 Ocean Or,Jensen Beach,F1 34967
Legal Description: f i'
Property ,34136S/41E
3534-111-00M000-3 Lot Nol
Site Plan Name: Regency • Dunes Block •
ProjectRegency Dunes
SetbacksFront_ • Side:
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Replacepanel • phase NEMA 3R panel with new breakers.
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0HVAC ■ • Windows/Doors
Electric FD Plumbing FISprinklers Generator Roof
Total a of Construction: Scl.Ft.ofFirst ••
• of • • 1800.00
utilities:F]Sewer USeptic Building Height:
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• • ! ame: •
•• •i i - ComBlogser electric
asress: ^• Sox 7305
f 1 Port St Lucie State:F1
• • 1ZipCode:
Phone No. 772-337-0055
E-Mail: nrblosser@gmaii.com
if value of construction Is$2500or more,a RECORDED Notice of Commencement is required.
04/30/2015 8:51 AM FAX 7723372699 RENT—BLOSSER U0003/0003
DESIGNER/ENGINEER: Not Applicable MORTGAGEICOMPANY: —Not Applicable
Name: Name:
Address: Address: i
City: State: City: I State:
Zip- _ Phone: Zip: I Phone,,
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING C6MPANY: Not Applicable
Name: Name: i
Address: Address: I
City: City:
Zip: Phone: Zip: I Phone:
I certify that no work or installation has commenced prior to the issuance of a permlit,
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 ad 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 wild,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 ma result in your paying twice for
improvements to your property.A Notice of Commencement must be'r r ed and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult le der or an attorney before
commencing work or recording your Notice of Commencement.
s
Signature of Owner/Lessee/Agent Signature of Contractor/License Haider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF 1
l
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 _, by this dIday of I _ r 20 !.5_by
AtaI76 A:3-1o5 _e
(Name of person acknowledging) (Name of person acknowledging)
bye "'A°t-,
(Signature of Notary Public-State of Florida) (Signature of Notary Public-S to of Florida)
Personally Known OR Produced Identification Personally Known i V OR Produced identification
Type of Identification Produced Type of i
". LMUE A.PHLUPS
Commission No. _ (Seal) Commis I mycow atoNtEEW599(S 1)
�-3-i---Cigi:s. 'ruyao,iofs
A;. 80114 'hrst�oiaryl�uatcundaiwnicrs
I
Revised 07/15/2014
i
RIEViEWS FRONT ZONING SUPERVISOR PLANS VEGF-ITAlION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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