HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5; Permit Number:
RECEIV71D APR 0 7 2016
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 X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION
Address: 3318 ORANGE AVE
Legal Description: 8 35 40 PART OF SE 114 OF NW 1l4MPDAF:FROM INT W LI ANGLE RD AND NLI OF ORANGE AV,AS SHOWN IN PL BK 7-12,RUN W ON N LI ORANGE AV 547.02 FT FOR POB,
TH N 173.64 FT,TH W 326 FT,TH S 25.71 FT,TH E 81 FT,TH S 147.93 FT,TH E 245 FT TO POB-LESS S 9 FT AS IN ORD TAKING CA#82-6-05-(0.97 AC)(OR 1347-1516)
Property Tax ID#: 2408-243-0003-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Seminole mobile home park
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK '
,
Upgrade four gang meter bank and disconnects - ,Lames y� yS, y Co L14FuP
CONSTRUCTION INFORMATION
Additional work toa nertormedd un' er t is permit—checK all appy:
ElHVAC 0 Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,950.00 Utilities: Sewer Septic Building Height:
01NNER/LESSEE CONTRACTOR
Name Seminole Mobil Park Lic % Riverstone Communities Name: Jeffrey R.Waite
Address:300 E Maple Road Suite 200 Company: Infinity Electric Co. Inc.
City: Birmingham State:M I Address: 630 Tall Pines Rd.
Zip Code: 48009 Fax: City: Haverhill State: FI
Phone No. Zip Code: 33415 Fax: 561-588-3805
E-Mail: Phone No. 561-662-9299
Fill in fee simple Title Holder on next page.( if different E-Mail: InfinityElectric@bellsouth.net
from the Owner listed above) State or County License: EC13005456
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 Notice of Commencement.
0.A, /?_?7&�&� .
s
_Sig ure of owKeri Lessee/Agent Sign u e of C ntracto /License Holder
STATE OF FLORIDA 0 STATE OF FLORIDA
COUNTYOF -5t-'LUc \k COUNTY OF S-t- Lyc\0,
The forgoing instrument was acknowledgd before me The forgoing instrument was acknowledged before me
this '� day of Ck Q Ct\\ 20��by this day of CkQ C\N 20 `6 by
(Name of persona knowledging) (Name of person acknowledging)
r""� I 7i�2tn�
(Signature of Notary Pu ic-State of Florida ) (Signature of NotiVy Public-State of Florida )
Personally Known OR Pro .uce -1d €*WS dda*. Personally Known ;QfLProducedadeatifit-ation `�
�+ of Fto
L State p16 a L UaNNA GIVENS
Type of Identification Produced,,,,,. �-u„nuc Ab,2 Type of Identification Prod,��ecl A la
N0 omm.ExPite 8s Q 5 }� :o —� Notary Publi fa�oT i7oria�—c)
} #EE r Dec 16,2016
Commission No. ��� ` (: ��»°=My � I)�$1p° °tory Assn. Commission No. �` ��� My Comm.lob �
. ' Sncou9nNatwnalN d t r: Commis ion �E 858761
o bonded %° F°•` bonded Through National Notary Assn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS