HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC BL INFO OUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I1 Permit Number:
I '
•
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 xxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION
Address: 845 SE Tierra Ct Port St Lucie FL 34983
Legal Description: River park-Unit 7-BLK 65 Lot 10(MAP 34/28S)(OR 3077-14)
Property Tax ID#: 3419-550-0049-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Replace 150 Amp Panel with a New 150 Amp Panel ( NO LOAD CHANGE)
CONSTRUCTION I'N'FORMATION
Additional work to be nertormedd under t ispermit—check all appy:
❑HVAC Gas Tank Gas Piping _ Doors
p g Shutters ❑Windows/
❑✓_Electric 0 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: C S Ft.of First Floor:
Cost of Construction:$ �� 1 Utilities: Sewer F]Septic Building Height:
OWN ER/LESSEE.. . CONTRACTOR:
Name Edrick,Angela Rodriguez Name: George G Sanchez JR
Address:845 SE Tierra Ct Company: Excel Electric LLC
City: Port St Lucie State:FL Address: 1391 SW Bellevue Ave
Zip Code: 34983 Fax: City: Port St Lucie State:FL
Phone No.772-579-8167 Zip Code: 34953 Fax:
E-Mail:angie769495@yahoo.com Phone No. 561-408-0722 Qualifier/561-513-1477
Fill in fee simple Title Holder on next page(if different E-Mail: george@excelelectricsouthflodda.com
from the Owner listed above) State or County License: EC13006483
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: _,
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: 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 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 recording our No ' mmencement.
_ s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 'S .� (� �, COUNTY OF
The forng instrum nt wa cknowledged before me The forgoing instrument was acknowledged fore me
this day of �. 20 171:by this,�day of 20 by
GeyrG S�lZG`j(i Trr George G Sanchez JR
(Name of person acknowledging) (Name of person acknowledging)
( e f N ary Public-State of Florida) Sign of Not Public-State of Florida)
`, �i,� ..`OTARYgii
P wpt AHGELMIM c nti i ation Pers'6,a ,Sown OR Produced I tification
T ^of ilica o I'�l+1Lc®t� -' Type o.'; t�fid�l pn'AY�
ommission - y Pu q M
Y Com
;9rf M m.Ex ices FF 23473 ) 00j rnr ��c.wareUFf Seal)
Com.riifssioh Nq�„ � P Mav 27 pp��( al Commission, IbCo N 1
�,� 'ahonalNotaryAssn. E_VINO F234j3rda
Ma 0
Revised 07/15/2014 /N' ygs9
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
ACOMPLETE
INITIALS