HomeMy WebLinkAboutBuilding Permit Application Dec.03.2015 03:27 PM JP ELECTRIC LLC 561 337 6752 PAGE. 1/ 7
ALL APPLICABLE INFO MUST BE COMPLETED ICOR APPLICATIO14 TO BE ACCEPTED rI
Date: 12 � I'� Permit Number: I
RECEIVED
Building Permit Application DEC 0 3 2015
Planning and Development Services PERMITTING
Building and Code Regulation Division St.Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34992
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential v
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 4001 Marlah circle Fort Pierce fi 34850
Legal Description:
Property Tax ID#: 2408-602-0016-000-1 Lot No.
Site Plan Name: Block No.
Project Name: dume
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Service change and repair. �2 6OJglyr°s
CONSTRUCTION INFORMATION:
i ,ona wor o e orme under ,s permit—check a appy:
HVAC LJ Gas Tank ❑Gas Piping _Shutters Wlndows/Doors
Z✓ Electric U Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: So. Ft.of First Floor:
Cost of Construction.$ 2300.00 Utilities; 0Sewer OSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Rose Dume Name: Jean Paul Rocher
Address:1555 E 57th Street Company: JP Electric,LLc
City: Brooklyn State:NY Address: 715 Silver Beach Road
Zip Code; 11234 Fax: City: Lake Park State:FL
Phone No.917-747-2029 Zip Code: $3403 Fax: 561-337-6752
E-Mail: Phone No. 561-312-7731
Fill In fee simple Title Holder on next page(If different E-Mall: )pauiroc@gmall.com
from the Owner listed above) State or County License: EC13005887
If value of construction Is$2500 or more,a RECORDED Notice of commencement Is required.
Dec.03.2015 03:28 PM JP ELECTRIC LLC 561 337 6752 PAGE. 2/ 7
0 W� x
DESIGNER ENGINEER; Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name.
Address: Address:
City: Stater 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.L cle County make no represent tion that Is granting a permit will authorize the permit holder to build the subject structure
whichIs In conflict with aHyl applica��e Home owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult w th your Home owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,l do hereby agree that I will,in all respects,perform the work
In accordance with the approved plans,the Florida Building Codes and 5t, 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,
t242-� 1�:—_> s
_Signatu -Owner/Lessee/• gent Signature 4 pntraCtor License Holder
STATE OF FLORIDA � STATE OF FLORIDA
COUNTY OF �1LCY� IL�%P► COUNTY OF PA-LM 9(5A-CH
The forizining Instrument was acknowledged before me The forgoing Instrument was acknowledged before me
thlsLl;�-- ay of DtJAMaRM 20 L!�_by thlsa!!day of WF"60;r 20 •Lffp by
N L~ u-�r Pr"L- dw
(Name of person acknowledging) (Name of person acknowledging)
J
(Signature of Notary Publlc44tate of Florida) (Signature of Notary Publl -State of Florida)
Personally Known_OR Produced Identification �/ Personally Known OR Produced Identi ication �
Type of Identification Produced EL. QV Lt( 15 -- Type of Identification Produced_,FL,
Commission No. I�0 l6 V CLM
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My Comm,Expir0,2016 My Camm,Exptroa Aug 10,20Revised 07/15/2014 ,;;.R \: Commisslnn 0840 Commission N FF 130640
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS