HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:.5/5/15 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code'Regulation Division
2300 wrgirda,Avenue,Fort Pierce FL 34382
Phone,(772)462-1553 Fax:(772)462-1578 Commercial xxxxx Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the,end of line
_PR OPOSEDIMPROVEMENT LOCATION
Address: 10701 S Ocean Dr Ste 2
Legal Description: HOLIDAY OUT AT ST LUCIE-SEC B BLK U ALL.(OR 270-1419)
Property Tax ID;#: 4511-502-02'13-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIOi OF WORK
remove existing meter and dist for golf:cart shop install 150 amp meter combo pack
CONSTRUGTION.I N FORMATION
Additionalwork toa nertormed under this permit—checic
( all app y:
aHVAC L_!Gas Tank ❑Gas Piping _Shutters a Windows Doors
Electric ❑Plumbing ❑Sprinklers E Generator E Roof
Total Sq.Ft of Construction: Sq-Ft:of First Floor'.
Cost of Construction:$ 1,500.00 Utilities: Sewer aSeptic Building Height:
OWNER/L""I=SSEE CONTRACTOR
Name Venture Three Inc Name john law
Address:10701 S Ocean Dr Ste 2 Company: law's electrical:service inc
City:Jensen Beach State:FL Address: 5158 nw Ori min st
Zip.Code: 34957 Fax: City: PSI State:fl
Phone No.772 919 2368 Zip Code: 34983 Fax:
E-Mail: Phone No. 3704357
Fill in fee simple Title Holder on next page(if different E-Mail: johnlaw51.580aol.com.
from the Owner listed above) State or County License: 25284
If value of construction is$2500or more,a RECORDED Notice of`Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW LNFOBMATIpN
pp MORTGAGE COMPANY. _Not Applicable
DESIGNER ENGINEER- Not A licable ppticable
Name: Name:
Address: Address:
city: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLETITLE HOLDER: _Not Applicable BONDINGCOMPANY:. Not Applicable
Name: Name:
.Address: Address:
City: City:
Zip: Phone: Zip: Phone.:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation thatis`granting a.permit will authorise the ermit holder to build the subject structure
which is in conflict with any applicable Home 0* ners.Association rules,bylaws or and covenantsthat'may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed forany restrictions which may apply:
In considerationof 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:ezempt from undergoing a full concurrency review:room-additions,
accessory structures,swim ming.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
improvernentsto'your property.A Notice of Commencement must be recorded'and posted on the iobsite
before the first inspection. If you intend to obtain financing,con suit with lender or an attorney before
commencing work or recording our Notice of Commencement.
M ,l '
s
_Sig
h' e of.Owner/lessee/Agent Signature f ontr .aor/License Holder
STF FLORID. STAT OF FLORID
COUNTY OF_ -I COUNTY OF
"Thefor oing instrument was acknowledged before me The forgoing instrument. acknowledged before me
this day of20( by this day of Mf2 Cj 20 fi by
t }
L.cwt �'`rt iil Gk
(Name.oi person acknowledging) (Name of pe-r-s-on acknowledging)
(Sig ature df Notary Public-State of Florida) (Signa re of Notary Public-State of Florida.)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificatidn Produced Type of Identification Produced
Commission No.R c3R-7*.NOTAFRYPUSUC
Commission No. -7 l'�
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NOTARYPUSIX
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Revised Q7/15/2014FFW 33 • 'C0"x"���9
Expires 6/2018 moire 3/3/2098
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW; REVIEW
DATE
COMPLETE
INITIALS