HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE
yINFO
' }MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: te Permit Number:
• Igoe RECEIVE
Building Permit Application MAR 2 4 2016
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
PR Q'SEI311V1U . ENTLOCAT�®N�.,
Address: 9650 S Ocean Dr. Unit 2003,Jensen Beach FL 34957
Legal Description: Unit 2003,The Princess Condominium ORB 444, page 998.
Property Tax ID#: Parcel 45-02-610-0183-0002 Lot No.
Site Plan Name: The Princess Condo Block No.
Project Name: The Princess Condo Unit 2003
Setbacks Front Back: Right Side: Left Side:
ANX x
fll=TAtLE`R' QESORIPTIt�N4O:F WORK 5 � � 2
1) - Move one electrical outlet in Master bedroom to service the TV.
2) - Install one-jl let to service electronics in the master hall closet.
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COIISTRuc-rI �NFORI� TON � ¢
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ditional work to e e orme under this permit—check' a appy:
OHVAC Ei Gas Tank [:]Gas Piping _Shutters ❑Windows/Doors
❑✓—Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 100.00 UtilitiesSewer Septic Building Height:
OWNERLESSEaCONTRACT(3Rg
Name Miguel Echarte Nam : James Murray
Address:104 Crandon Blvd.#306-A Compan • Go Local Electric
City: Key Biscayne State:FL Address: 10 S Federal Hy. NCB 112
Zip Code: 33149 Fax:305-675-0835 City: Port St. Lucie State:FL
Phone No.305-389-8458 Zip Code: 34952 Fax:
E-Mail:echarte@ix.netcom.com Phone No. 772- 7-2351
Fill in fee simple Title Holder on next page(if different E-Mail: info golocalelectric.com
from the Owner listed above) State or -aunty License: 28992
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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: Miguel Echarte Name:
Address: 104 Crandon Blvd.,Suite 306-A Address:
City: Key Biscayne,FL City:
Zip: 33149 Phone: 305-389-8456 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 pr 'erty. A Notice of Commencement must be recorded and posted on the jobsite
before the first inZVecording
. If you intend to obtain financing, consult with lender or an attorney before
commencingworour Notice of Commencement.
s
_Signatur of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLOR D STATE OF FLORIDA
COUNTY OF fCQf�� � � COUNTY OF
The for 0instrum was knowledged efore me The forgoing instrument was acknowledged before me
this�day of /ZU r� C 20 6 by this day of 20 by
(Name of a on acknowledging) (Name of person acknowledging)
(,SCE'XV a
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida )
Personally Known -OR-Produced Identification Personally Known OR Produced Identification
Type of Identi Type of Identification Produced
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Pis•.,
Commission N .:2°. .`c+-; LUCE A�,�,ix Commission No. (Seal)
Lary Public-State of Florida
Comm. Expires Jun 20,2017
-.
029521
Revised 0
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