HomeMy WebLinkAboutBuilding Permit Application 11/12/2015 13:43 7726219164 FAX #2498 P. 002/003
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11�13� S Permit Number= lS oZ3�
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__:D NOV,�3 701
Building Permit AAlication
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
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Address: 4940 TREETOP TRAIL
Legal Description: 4940 TREE TOP TRAIL
Property Tax ID#: 1418-241-0020-000-3 Lot No.
Site Plan Name: Block No.
Project Name: TREE TOP TRAIL T
Setbacks Front Back: Right Side: Left Side:
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TEMPORARY POWER POLE
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Additional work to be performed un er t is permit—c ecka appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑Plumbing Sprinklers Generator 1=i Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 200 Utilities: Sewer Septic Building Height:
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Name WILLIAM TYLER KAREN KENNEDY Name. CHARLES HOPPMANN ..
Address:295 SW W CALABRIA CIR Company: BELLWETHER`ELECTRIC COMPANY
City: PORT ST LUCIE _ State:FL Address: 571 NW MERCANTILE PL#103
Zip Code: 34953 Fax: City: PORT ST LUCIE State:FL I
Phone No. Zip Code: 84986 Fax: 772-621-9164
E-Mail: Phone No.77--621-9494
Fill in fee simple Title Holder on next page(if different E-Mail- $ELLWETHER.ELECTRIC@GMAIL.COM
I
from the Owner listed above) State or County License: EC13004122
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
11/12/2015 13:46 7726218184 FAX #2488 P. 003/003
St.Lucie County make-s no representation that is granting a permit will authorize the ermit holder to build the subject structure
DESIGNERIENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State- City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER; —NotApplicable 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.
which is in conflict with any applicable Home Owners Association rules,bylaws or angcovenants that may restrict or prohibit such
structure.Please consult with your Home Owners As�sociation 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 Cod'es and St.Lucie County Amendments,
The following building permit applications are exempt fr.om 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
e 'I rit to your property.A Notice of Commencement must be recorded and posted on the jobsite
the:f1r.5st inspection. If you intend to obtain financing suit with lender or an attorney before
POME00'ricin workor recording your Notice of Corriirn'enceVen�n
Switure of Owner/Agent/Lessee Signature of ContraictQ Lli trise Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF-8T.1,VCIE COUNTY OF._5T.I VCIF
The forgoing instrument was acknowledged before me The forgoing instrumenL was acknowledged before me
this, day of 20 this 12 day of NOVEMBER 20__L4 by
(Name of person acknowledging) (Name of person acknowledging)
(signature of Notary Public-state of Florida) (Signature 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, r-12859431 (Sea]) Commission No, rr859431 (Seal)
Revised 07/15/2014
REVIEW5 FRONT ON ING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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