HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:April 15, 2016 Permit Number:
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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 x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the e}ynd of line
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Address: 8200 Bromeliad Circle Port St Lucie
Legal Description: Savanna Club Plat IV
Property Tax ID#: 3425-704-0014-000/6 Lot No.
Site Plan Name: Block No.
Project Name: Savanna Club back entrance security light pole
Setbacks Front Back: Right Side: Left Side:
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Provide and install direct buried aluminum light pole with LED fixture.
Provide new circuit from existing service adjacent to tYe' pole.
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i ions work toa nertormed under this permit-checK all tM appy:
❑MVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing []Sprinklers Generator ❑ Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction: 4325 . 00
$ Utilities: —Sewer Septic Building Height:
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Name Name: James P. Williams
Address: Company: Arlington Electric inc.
City: State: Address: P.O. Box 63!1,
Zip Code: Fax: City: Stuart I State:FL
Phone No. Zip Code: 34995 Fax:. 772-287-2380
E-Mail: Phone No. 772-287-1353
Fill In fee simple Title Holder on next page(if different E-Mail: gregg@arlingitonelectricinc.com
from the Owner listed above) State or County License: E0,0000127
i
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: f ^Not Applicable
Name: Name:
Address: Address:
City: State:— City: State:
Zip: Phone: Zip: Phone: I
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
L.
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 subjects structure
li Is In conflict with any applicable Home Owners Association rules,bylaws or an covenants that may restrict or prohibit such
which 1�
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:ro''Orn additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-resIdentlal use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result Ii n 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 your Notice of Commencement.
s
SignAtu of owner/Lessee/Agent ature of Contractor/License Holder I
STA=OF FLOR[ TATE OF FLORIEJAI
A]&
COUNTY OF tj COUNTY OF
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The fo Ing lnstruq�ent was acknowledged before me The for Ing InstruAnmtwas acknowledged before me
this day 1A(F0L_ 20 4by this: day of_ P�L— 20 V
p_by
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(Naerson acknowledging) (Nam person acknowledging)
Ignatu -Neta,y Public-S fe Florida (Slonat a of Notary Public-SA)6 f lorlda
P rsonally K 0 111 k4eatifim1pri Personally Known. 1$ddtft0Ic8t16GGlNS
Type en u -State F Not y Public-State of Florida
WIE My Comm.Expires Aug 2,2017
My Comm.Expires Aug 2,2017
8 9
Commission rnmmission(kM)938793 Commission No. CommIESigaly FF 38793
4 " J, Bonded Through National Notary Assn.
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