HomeMy WebLinkAboutBuilding Permit Application Sep 0215U2:23p Jimmy Rowell Electd772-22O-2755 p.4
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPUICATION TO BE ACCEPTED
Date: 09-02-2015 Permit Number:
7�:; 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 xxxxxxxxxxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 5005 Killarney Unit B
Legal Description: Lakewood Park Unit 12 A-Block 174 Lot 14
PropertyTaxiD#- '1301-615-01151-000-8 Lot No.
Site Plan Name: Block No.
Project Name: C8C; Investments Property LLC(TR)
Setbacks Front Back., RightSide: Left Side: '
DETAILED DESCRIPTION OF WORK:
Inspection for purpose of having power restored, new meter and new FIRL service drop'
CONSTRUCTION INFORMATION:
Motional work-to be rrormea under this permit—check all that apply:
Shutters Windows/Doors
HVAC Ga's Tank F]Gas Piping F_
Total Sq.Ft of Construction: Sq.Ft.of First Floor.
Cost of Construction:$300-00CSC Investments Utilities:0Sewer OSeptic Building Height
-OWNER/LESSEE: CONTRACTOR:
Name GSC investments LILC(TR) James M Rowell
Address:1001 SE Monterey Road Company: Jimmy Rowell Electric Service
city: Stuart State;F1 Address. PO Box 2262
Zip Code: 34994 Fax: City: Stuart State.FI
Phone No.772.708.5763 Zip Code: 34996 Fax: 772-220.2755
E-Mai I:JudyConran@GMail.com Phone No. 772.220.2755
Fill in fee simple Title Holder on next page(if different E-Mail: JRowell Electdc@aol.com
from the owner listed above) State or County License
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Sep 0215 02:22p Jimmy Rowell Electric 772-220-2755 p.3
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DESIGNERIENGINEER- Not Applicable MORTGAGE COMPANY. Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: NotApplicable 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.
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 OWN ER: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 toobtain financing,consult with lender or an attorney before
commencing work or recording your Notice of Comm ncemi /' � oK
S
_., ature of Owner/Less gent) Si re of Contractor/License Holder
J
STATE DF FLORIDA ifATE OF FLORID
COUNTY OF COUNTYOF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this -2-day of 201.!Lby this/S�day of.S*c?;" 20L�Cb_y
(Name66f person acknowledging) (�tafAE6f—person-acknowledgirig)
(Signature of Notary Public-State of Florida) (Signature Notary Public-State of Florid)
Personally Known OR Produced Identification Personally Known OOR Produced IdentificationT
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. LA
-MYCO MI S(ON#EE21M.
TERESA L SEUNIGAli
Ren"s Nnhry 0--_'
EXPIRES July 26 2018
W: MY COmM.Expires Dec 29,2017
Revised 07/15/2014 Commission#FF 71718
Eonded Thrwah Natinmiti—
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
IN ITIALS