HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date: b 6 �s Permit Number:MEN
- = RECEIVED OCT 161015
Building Permit Application
!^nninc and Development Services
2uii'd no and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 200 N El Mar Dr — Bldg B
Legal Description: Section 11, Township 37, Range 41 From Cor of Lot 41 of Beach Club Colony
Sec 1
Property Tax ID#: 4511-513-0000-000-6 Lot No. 41
Site Plan Name: N/A Block No.
Project Name: N/A
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Secure existing cabling and encapsulate open/exposed junction boxes in attic area
CONSTRUCTION INFORMATION:
Additional work to be nertormed un er t ispermit—c1e,1 all appy:
HVAC Gas Tank Gas Piping Shutters Windows/Doors
ZElectric ❑ Plumbing Sprinklers 11 Generator ❑ Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 875.90 Utilities:'n Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Beach Club Colony Condo Assoc Inc Name: Michael Dale Ault
Address: 1100 N Homestead Rd Company: Ault Bros, Inc.
City: Lehigh Acres State: FL Address: PO Box 1528
Zip Code: 33936 Fax: City: Port Salerno State:FL
Phone No. Zip Code: 34992 Fax: 772-283-0321
E-Mail: Phone No, 772-283-5520
Fill in fee simple Title Holder on next page (if different E-Mail: aultbros@yahoo.com
from the Owner listed above) State or County License: EC0001693
II If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I!
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
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 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 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 Commencement. 14
_Signature of Owner/Lessee/Agent Signature of Contractor/L-Fcense oL d`
STATE OF FLORIDA STATE OF FLORI A
COUNTY OF 5 . L uc�� COUNTY OF -S - Leri
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 43c:?r 20 \5 by this,6 day of GCA , 20 VS—by
y 1 `CR'. cAN0,kN Q 6 \
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pub c-State of Florida) (Signature of Notary P lic-State of Florida}
Personally Known OR Pr u t`i I�Ptlo 'b ,,. Personally Known OR Pr, d d`i i��gati�n r
Type of Identification Produced �6•� Type of Identification Pr� Liaie 20A
'?\0 \yes " 850 sSo• „ ,,,,, otacy rtes v 6sl
o
Commission No.Eo�G m�(�5 !}";�a\N ,� Commission No.:�,', om`m�ssion( oto+^"oiati assn•
Revised 07/15/20=
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS