HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE/INFO/MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /���--11^�
Date: //' ?"' lJ Permit Number: 45 � - 60 /,2,
RECEIVED
Building Permit Application
Planning and Development Services NO671�
4 201
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential _
PERMIT APPLICATION FOR: Electrical
PROPOSED ((UI'PROVEMENT LOCATION r
t
Address: 3821 Nimblewill Ct. Port Saint Lucie, FL 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB- BLK 47 LOT 11 ( OR 3797-256)
Property Tax ID#: 3425-706-0120-000-8 Lot No. 11
Site Plan Name: Jacobus Block No. 47
Project Name: Jacobus
Setbacks Front 20 Back: Right Side: 7.5 Left Side: 7.5
DETAILED DESCRIPTION OF=WORK
GFI light and switch in shed
COfVSTRUCTIO'N IN
,1=0RM'ATION
Additional work to b rtormed under this permit—check all that appy:
11 HVAC Gas Tank Gas Piping _Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 500 Utilities:Sewer[]Septic Building Height:
h
01N.NER%LESSEE CONTRACTOR:; ' x
Name Mamie Jacobus Name: Lawrence Stubb
Address:3821 Nimblewill Court Company: S&W Electric
City: Port Saint Lucie State:FL Address: 501 SW Cocker Rd
Zip Code: 34952 Fax: City: Fort Pierce State: FL
Phone No.609-408-6640 Zip Code: 34983 Fax:
E-Mail: Phone No. 772-201-7316
Fill in fee simple Title Holder on next page ( if different E-Mail:
from the owner listed above) State or County License. ' C Is 00 ( al
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIQN.LIEN LAW IN•F.ORMATION Y
DESIGNER/ENGINEER:.._r ..._
_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, 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 recprding your Notice of Comm encemen .
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SaintLucie COUNTY OF SaintLucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2 day of November 20 15by this z day of November 20 Ir by
Lawrence Stubbsl Lawrence Stubbs
(Name of person acknowledging) (Name of person acknowledging)�J���.sf
ct3fgft@Tu_re of Notary Public-State of Florida ) (Sign atur Notary Public-State of Florida )
Personally Known xx OR Produced Identification Personally Known xx OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF074898 tipava�B (Seal) Commission No. FF074898 ,pRyP� (Seal
••.,•�•� SABRINA BUTLER e�;•••,e�% ABRINA BUTLER
* MY COMMISSION ai FF 074898 * MY COMMISSION ii FF 074898
BondedThruBudgetNoteryServkeo ��9rFOFFleQ�O�
Bonded Thru Budget Notary Services
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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