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'INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:= y • Permit Number: U
RECEIVED
Building Permit Application SEP /4 2015
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue,Fort Pierce FL 34981
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
V/—
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROI?OSED I,IVII?RQVEMENT LQCATION
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Address: 8005 Deer Park Avenue
Legal Description: Lakewood Park-Unit5-BLK 44 Lot 25(Map 13/11 N)or(415-1328)
Property Tax ID#: 1301-605-0122-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION QF WORK
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Replace existing main,load center (FPE)
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CONSTRUCTI'QN INFORMATION h
Additionalworkto e e ormeF Y under this permit—checK a appy:
'11HVAC Gas Tank E]Gas Piping Shutters ❑Windows/Doors
ZElectric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 995.00 Utilities:cn Sewer[]Septic Building Height:
OU1lNER LESSEE
CONTRACTOR
5 f 3 2
Name Blake W,Wilson,Jr. Name: Anthony D.Gervasio,Sr.
Address:9110 SE 72nd Avenue Company: ANDEC, LLC, dba Brite Future Electric
City: Ocala State:FL Address: 815 33rd Court SW
Zip Code: 34472 Fax: City: Vero Beach State:FL
Phone No. Zip Code: 32968 Fax: 772-562-6693
E-Mail: Phone No. 772-562-6633
Fill in fee simple Title Holder on next page(if different E-Mail: Tony@BriteFutureElectric.com
from the Owner listed above) State or County License: EC0001978
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONST 1140 Q UEN LAW INFC?RMATIOW {t
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE BOLDER: T 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.
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';spection. if you intend to obtain financing, consul ith lender or an attorney before
commencin Qtk or recordiqg your Notice of Commencement.
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Signature of Own r/Lessee/Agent `'qP;*; Signa ure of C tractor/License Holder
STATE OF FLORID Q X5 a STATE OF FLORIDA °'
COUNTY OF �Q o COUNTY OF n "'M
The for Ding instrume t wa acknowledged bef The yfing instrume t wa acknowledged bnthis day of 20 �by thisday of 24 P z
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(Name of person acknowledging) (Name of person cknowledging) N
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(Signature of N ry Public-State f Florid ) (Signature of ar Public-State of Flor da)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIAiS