HomeMy WebLinkAboutBuilding Permit Application 08/21/2015 1:49 PM FAX 7723372699 KENT- BLOSSER IM 0002/0003
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: al 15 Permit Number: 4 C.,
RECEIVED AUG 212015
Building permit Application
Planning and Developent Services
Building and Code Reg lotion Division
2300 Virginia Avenue,I art Pierce FL 3498.2
Phone: (772)462-15!;,3 Fax: (772)462-iS78 Commercial Residential XX
PERMIT APPLICA ION FOR•• -
Electrical . :
}`� i �ee y .;. x,e 1. �;. .. ��`..._ '.i"Ilr' '•'W-" '�•x•-'y
i: .''?RnrkFREE
: .� ' fi1� :^i31A: 01,
'� ''f�:' .ta_"Y�ii,mrev...l.v•��..r
t Sib riBwGr�
}:
Address: 185 Estia Lare Port 5t Lucie, FI 34983
Legal Description: River Park Unit 5 Slk 44 Lot 1
Property Tax ID#: 341,11-540-0039-000-6 Lot No.1
Site Plan Name: Block No, 44
Project Name: 185 Esti i -
Setbacks Front Back: Right Side: Left Side:
:S 9�Ilry:::P w'&�„yy.t-,-:.;..,•.:r-i�^41°'—:'P.7 -=:51 n:44i{ .�.Yatl�dl...ar ..Jx,-n,-.:1..���iiA.il'It u!:y .y..r.iil,r:fl"ie::�i n'♦_?1 rai.iiitl'• +:u »•:::C1 1:riui; r•,:e• —'r4 :.
P t aP, i.•. ,-t t,7 t,.,hlt.,.nlfi „tt as t, r+ :,;
s•-„y^ge � � a;iFit-a•;t :18x.4 :a�'�1�•�.lir 'Nutl'n�"..l�+.a,y;t:.t;.,;•,' -
t� �� '' +�q �'�+' ,y! ;�g'`�u,,� tt•i... . 'r,..,. :,,. _ a.7w�It:.;a,. •,.�. � I�tit..,i ,�+I I'L�.�la�l..��a,,.., :;n�, ,�aallF...., r-:, _ r.•h_tirN•`,,,.:-1,1"•;;+:
,,. ;".,1::,.,., � „�•(�'�tt. 1��. , , �' ,.;.I�laltt::: }}r�y�'.d,�iw'. .;,:,$.:�..:�� t ��:� � w,,l...,� ., t ; =ua:,!,� . .�rl�..:.:.........
., -. �.-...,.`�„ •`'� ,1� � 1�!``'' ,.-. ,..�tui.{( .,C I <:°.�1; r,itil ,!.+I�,:+r ::tl li r,r-11YR'I� ;,�T.h'1,,,
,t,Yta•.:;:.;ni+IFa,r..:: �i_l.,Gli:.,+7WA•..,.V, +',�_fildlr"u1311'S,�1']s�ISr t�•a:dl�^:..•,r r.. -Po„^l i .��s 1-• .�eMYjj ,1 N ''.ir.`�l•n�,lr .?M1i. ��ir�.�yi;'�,1.5, '��.el`r�''1 •tAk"�:d If •'`9:°�` �°' ,d., ...,���,�,�SSrm:..1:'
....,an br:l..1G.•t'.<.laa•- �]'., m,:,�.lFu}��.,�Y,naFl.....ot• r'15�.,.clki;,:�R;1._,�i 1,�!,•:':gL'N3x:i:!:n:iiGrt:!�" •q.�'1RiS r'"-1� =,. F.tsrl rug Irtett�l �e.Y�{+ale i�ti;�1..Mr�•,�.i
Replace meter, rise , grounding and panel with new.
,e ...�..� u 91r1�v�.� ,,. N,..��u�u•,unl,�u.� — 11P a.:'IRRa 1-'-"9G.Hr1
1. C.•r.. :....r Iy'V<:�.lYLh��.l.ea�.-'.�:.Y'.7 sbY",'61r —
... —
... .,'1' .,, ,r. •�,.- .L ., 1., � r., !.. �,�. �.{G .]",¢..,�!u-: moi.; ••,�Nsf,l-�i'r t ,,lfi•-.i-•�rFJ1'��'ai"°I�,:'..Iki"::r;I!:='� '1 1Yt;Y;9,r.,r5...; 'rhY'uifit�.°Nti!l i:;.e:r•1,
t , ,
, ..[+!�, t.:,�.i ••:',y y,�,� ; :: } ,, ,� !a� 1�1, �,.:1n1;•��;1!•....�ay;ty� Itlt...-�3���'„ '•.:,i7�l,rs x+11- ,u,, L ..:���',���.. �t, .y�::.rf�•::�'�. �rti;�'a,'!„n:jr;;;-:,.��f;,•r,
-'yy16Y.'T31 `'�3 Yt1jF ..Qy. �. l 4:•�S�.r :.��.nl ,..,. �`.+1. •df.r d�#} •-1 r„r!.. .... •Tt ��17 1.0..L� 19.�I � r....x r Kr T,1 .1, •!a:
.1,,,:,, .": r....'+ w�.f s ?f „r I ,n ``-- , t �.tA
a,:a.1.4L F•,.. tt.::::utl t"i-:�.•',!-.7'at'1-,.St11 1• ,r..11 ll4l'S31ri:= I
u.. .. ... , ..... x 1 NF.a �,5r��fii»`�'
tttona work to er orme under r t ermit--check at-Shutters
apP_r _
❑HVAC Gas Tank ❑Gas Piping Windows/Doors
EJElectric Plumbing ❑Sprinklers a Generator Roof
Total Sq. Ft of Constru ion: S . Ft.of First Floor:
Cost of Construction:$ .141.00 Utilities:'n Sewer Septic Building Height:
. aa; w..r „111 ba'i:,. Pra!mjae: iG { -... _
•i .. .. ;J1:�1, .... rlg �.,. .l. ...i�l� r a..luq .t•.31rry'61t�5iF,l,� xm tib;,s::!
y gg
ext , t '-'_.�^1:..,.y#'" e u ••.. ,n�1 , .,,_:r�i;'.et i i' ;ri ti a ••,,,n,,; r� _
.- c,..r .. lr.��.'N... r .. r. vrdr!rr w h„Y t t' _.-� m ._ i.l 'r•:>.1 ”.,f'= �: 7�0},��.,.:'i' ,. '
d u. F <. !.. :1 y ,` -.1 �;u!t Si••1.:^�115.!'''i(.:�4/y�u a��ti:! r:' gg;i.: l:r�'�i-t?•a v
,. ,.1�.„I�...... e.t,-�„f-,..}$�tt.r,.tu,r,..�,.,„.,-,.,rxrl�r 1.1••,::,•P1t...sH�6ft,:�lw.,{ .r. la,,,�---xrl r- .-,.l •...'.r•�r._�;>:It,_�al
Name Mohammed Gani Name: Kent Blosser
Address:4449 Big Horn Company: Blosser Electric
City: Port St lucie State: Fl Address: PO Box 7305
Zip Code: 34983 Fax: City- Port St Lucie State:Fl
Phone No.772-214-9121) Zip Code: 34985 Fax: 772-337-2699
E-Mail: Phone No. 772-337-0055
Fill in fee simple Title Holder on next page(if different E-Mail: nrblosserl@gmaii.cdm
from the Owner listedabove) State or County License: EC13001570
If value of construction Is 2500 or more,a--RECORDED.-Notice of Commencement is required.
08/21/2015 1:51 PM FAX 7723372699 KENT—BLOSSER U0003/0003
tit I. Z� rigM
L
der. I.WI-1
C-T
a
DESIGNER/ENGINEERI, 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 ori stallation 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 rule?,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.
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 concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OW E :Your failure to Record a Notice of Commencement may result in your paying twice for
improvements yo ,property. A Notice of Commencement must bewfc- died and posted on the jobsite
fl
before the fi OW
(c Lion. V-vou intend to obtain financing, consul n er or an attorney before
or
commenci w or ng your Notice of Commencement,� �� s
-,
or
Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF IFLORII)Ae. , STATE OF FLO A f
COUNTY OF izlX_ /,u C<_t �0. COUNTY OFT/ � _,)_
The forgooig Instrument as acknowledged before me The forgoing ins�,�,
acknowledged before me
this e
2L day of,. thisdoday of20
&_&t, 20 L,,Tby _L5 by
A i<�
(Name ofperson acknowledging) e of person acknowledging)
Z ail Z_1�
(Signature of Notary Public-State of Florida) ignature N ary Public-State of Florida
go,e--ls000lliiiio�
N
Personally Known OR Produced Identlfication Personall VKno n V luldlitif cation
Type
'r
Type of Identification r6- null I one"' eofld ' iention Produ I_ CARLA J_._MULTLK
stalw 91710T
Notary Ub C 162
30.2017
W Sm of Fw
#FF217823 Commission No. explres Oct
Commission No. 19 Won#FF 057124
Co
;cw, IM
my comm.Exon Jul 30.2019
JJM As
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNT E R REVIrW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS