HomeMy WebLinkAboutBuilding Permit Application 4
ALL APPLICA LEIN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2O .S Permit Number: 15tA 0 f
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort.Pierce F134982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential XXXXXXXX
PERMIT APPLICATION FOR: Electrical
:P.RO:POSED IMP,ROVEMEIVI'LOCATION y
Address: 5005 Killarney unit A&&
Legal Description: Lakewood Park-UnR12-a-Block174 Lot 14
Property Tax ID#: 1301-615-0151-000-8 Lot No.
Site Plan Name: Block No.
Project Name: CSC Investments Property LLC Jr)
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Inspection for purpose of having power restored, new electric meters and new FPL service Drop.
;,CQNSTRUCTLON_I,NFO.RMATIDN: .; • .' _
Additional workto e e Orme under this permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Z✓ Electric M Plumbing Sprinklers q Generator Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 300.00 Utilities:Sewer E]Septic Building Height:
OUVNER/LESSEE „`` CONTRACTOR:`
Name CSC Investments Property LLC(TR) Name: James M Rowell
Address:1001 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: 34995-2262 Fax: 7725.220.8880
E-Mail:judyconran@gmail.com Phone No. 772.220.8880
Fill in fee simple Title Holder on next page(if different E-Mail: JRowell Electric @ Aol.com
from the Owner listed above) State or County License: EC-13002740
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW.INIF R,MATION .,
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 thepermit 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,1 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
commencing work or recording our Notice of Commencem
01
A�� s
_Signature of Owner/Lessee/AgentSi re of Contractor/License Holder
STATE OF FLORIDA ATE OF FLORID� G%
COUNTY OF COUNTY OF � �
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 by this day of 20 �by
c fill S
(Name of person acknowledging) (Naffie of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of FloridC)
Personally Known OR Produced Identification Personally Known�1OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. Ofifr MYCOMMISSION#EE219914`'
" •_wQ4,f EXPIRES July 26 2016
r!07)38-0
8153 FlrnidallolaryServfte.eom
Revised 07/15/2014 : .,.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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