HomeMy WebLinkAboutBuilding Permit Application 10/29/2015 11:35 561-4932701 ECM PAGE 04
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO gE ACCEPTED
Date: lo'4 . 15 Permit Number: 5 Ia—
___. . .._..,.... .. RECEIVED OCT 2 9'2015
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 _.x__ .
PERMIT APPLICATION FOR: Electrical
Address.-
Legal
ddress.Legal Description: ��l�C_Jl YtJ
Property Tax ID 4:5 • c,VC' VJa+- cm�q: Lot No. 13
Site Plan Name: Block Na
Project Name: 11►✓'h
//;; *,1 LLvloa --
Setbacks Front Back: Right Side: . .. ... ... .....Left Side:
Ou-t
IN
it n2 war to cr orme un er t is permit—c ec a appy:
L�JHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑_Plumbing Sprinklers Generator Roof
1 '
Total Sq: Ft of Construction; S Ft.of First Floor,
Cost of Construction:$ IS� Utilities-Sewer LJSeptic Building Height:
Name „ , Name.• TODD BOYD
Address: >� t� " PLC-LC Company: EAST CC3AST MECHANICAL
City: LALL,e State:FL Address: 1500 N"GH-RIDGE RD
Zip Code: K4 Fax: City: BOYNTON BEACH —_ State;FL
Phone No. Zip Code: 33426 F7x: (5 1)493-2701
E-Mail: Phone No. (561)586-3739 EXT 2020
Fill in fee simple Title Holder on next page(if different &Mail: PERMITS@ECMSE:RViCE.COM
from the Owner listed above) State or County License: ECO001843
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required_
10/29/2015 11:35 561-4932701 ECM PAGE 05
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Noir Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone-_ Zip: Phone.-
FEE
hone:FEE SIMPLE TITLEHOLDER: _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 5wilding 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,fe ices,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 firs inspection. If you intend to obtain financing, consul7wit ender or an attorney before
commencin ork or r rdin our otice of Commencement.
i
Signature o wner/Agent/Lessee Signature of ddntractor/License Holder
SPATE OF FLORIDA STATE OF FLORIDA
COUNTY OF -I,MFiFACH COUNTY OFPAtMBaAcri
ThThe r oine forgoing instrum�n1t was acknowledged before me g instru M_ent was acknowledged before me
this 3141: day of C ; 20,:„by this day of LX--t 20�' by
TOO DBOYD TODD BOYD T
(Name of person acknowledging} (Name of person acknowledging)
(Sig ature of Notary Public-State of Florida) (Sign ure of Notary Public-State of Florida}
Personally Known x OR Produced Identification Personally Known x _ _OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No, 1►}1OTAINYINUi�iLIWC Comriiission No. (5eWAN �
STATE OF FLORI NOITARY PUpLIC
Cw
Ptr03�IbA
expires 4171201P Carta#E15172192
Revised 07/15/2014 ca 5xolres4/7/201ft
REVIEWS FRONT ZONiN�! SUPERVISOR PLANS VEGETATION SEA TtJRTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE m
COMPLETE
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