HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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 Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S OCEAN DR 878
- -Legal Description: VENTURE OUT AT INDIAN RIVER INC LOT 878
Property Tax ID#: 4511-510-0079-000-1 Lot No.878
Site Plan Name: Block No.
Project Name: PATTERSON WO#46560
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:--
REPLACE
ORK:-REPLACE 150AMP METER MAIN COMBO
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit-check all appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: 2450. - S . Ft. of First Floor:
`
Cost of Construction: $ j 06 Utilities: _Sewer ❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name THELMA PATTERSON Name: ELCON ELECTRIC, INC
Address:10701 S OCEAN DR 878 Company: ELCON ELECTRIC, INC
City: JENSEN BEACH State:FL Address: 668 S MILITARY TRAIL
Zip Code: 34957 Fax: City: DEERFIELD BCH State:FL
Phone No.772-229-1215 Zip Code: 33442 Fax:
E-Mail: Phone No. 954-979-5445
Fill in fee simple Title Holder on next page(if different E-Mail: BD@ELCONELECTRIC.COM
from the Owner listed above) State or County License: EC0001331
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION 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:
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.
Ih 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 another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commen em nt may suit in your paying twice for
improvements to your property. A Notice of Commencement m st b re or ed and posted on the jobsite
before the first inspection. If you intend to obtain financing, corif A t le er r an attorney before
commencinp,work or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agen Signature of C n o Lic 'ns Holder
STATE OF FLORIDA ] STATE OF FL D
COUNTY OF S-}. L-,)(,ie, COUNTY OFBROW,
The forgoing instrumen was acknowledged before me The forgoing instrument was acknowledged before me
this day of J 0 n P_ 201.5 by this q day of��UY� 20 by
t JAMES MCCONCHIE
(Name of'person acknowled 'ng) (Name of person acknowledging)
nature of Notary Public-State of Florida) Ignature of&ary Pu to of Florida)
Personally Known OR Produced I entication Personally Known x OR Produced Identification
Type of Identification Produced iso J w2 'cY� Type of Identification Produced
� 'a ion fro ''�i;: M(Self M NI �n C mmission No. Ee»0ess NOTA �.STATEOFFIARIDA
$ " """ Beverly Drouillard
EXPIRES JW*1 8 3
133 F n. 'y ••'�Expires: JULY 11,2015
"'�Revised 07/15/2014
BONDID TF3RII ATT AATICBONDIlQO CO,INC
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS