HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APP1_ICATION TO BE ACCEPTED
Date: 0810712015 Permit Number:
.r.;. , :+. RECEIV71 AUG 0 7 201
Building Permit Application
Planning and Development Services
building and Code Regulation Division
2300 Virginio Avenue,fort Pierce fL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical - L r, a a
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Address: 3351 Twin lakes Ter Apt 105
Legal Description: LAKESHOR€V11_L,AGE OF MI-ADOWOOD PHASE I BLDG 3008 UNIT 105 (OR 3749-731)
Property Tax ID# t3al"1-� D`�—�O$`t-Ob4-S Lot No.
Site Plan Name: Lakeshore village of Meadowood Block No.
Project Name: Jerry Freeman
Setbacks Front Back:. Right Side; Left Side:
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change out of FPE 200 main lug interior panel to a GE 200 amp main lug
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W its-onal work toa Orme "_e�_r�ffis permit-check a• appy:
HVAC ff Gas Tank Gas Piping _Shutters Windows Doors
Electric 171 Plumbing Sprinklers [Generator 0 Roof
Total Sq. Ft of Construction: 1417 _ S . Ft.of First Floor:
Cost of Construction:$ $2400.00 Utilities. Sewer a Septic Building Height:
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Name��5t VZr i��;w�a`^ Name: John Taggart
Address: 'S3S 1 _71,1 t h L�k e 8 �t r. qp}.lds Company: Promag Energy Group Electrical Inc
City: E:X, q I —State: Address: 3300 37th Street
Zip Code: 11A 5!_ Fax: City. Orlando State:FI —
Phone No. Zip code; 32839 Fax: 407-930-0703
E-Mail: Phone No. 407380-5560
Fill in fee simple Title Holder on next page(if different E-Mail: johnt@mtkelectric.com
from the Owner listed above) State or County license: 29393
If value of construction Is$2500 or more,a RECt5RDED Notice of Commencement is required.
8000/T00001 YVd NVZT:TT 2TOZ/LO/90
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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 ha:;commenced prior to the issuance of a permit.
St.Lucie County makes no representat!Dn 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 Horle Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this equested 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
commenciriR work or recording_your Notice of Commencement.
s
fa ure of Owner/Lp ,p Aperit Signa c Con ctc P older
E OF FLORID] $ TE OF FLORID
COUNTY OF COUNTY OF �o k\<,
The forgoing fnstru ent was a knowkidged before me The forgoing instrument was acknowledged before me
this—q-day of U 20 aby this_J_day of 20 j S by
(Name of person ackno ng) (Name of person acknowled
i
(Signa Notary Public-State of F'or da ( ignature otary Public e of Florida)
Personally Known V/ OR Produci:d Identification Personally Known ✓ OR Produced Identification^ „
Type of Identification Produced Type of Identification Produced
Commission No, IM&A WCIA Commission No, MdA004A.GARCLA
kNCrrAAYPUI3UCI STATE 09 M-09 I DA
NOTARY F�1BLIC
Aw finNE f'F051204 CommO FF051284
Revised 07/15/2014 P-xPirft914/2017
expires 9/4/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
8000/Z000 Z YVA NVZT:TT 2T09/L0/80