HomeMy WebLinkAboutBuilding Permit Application Apr 2616 02:35p Jimmy Rowell Electric 772-220-2755 p.1
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPI.ICATION TO BE ACCEPTED
Date: April 26,2016 Permit Number: ��t7® •VV
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CEIVED
Building Permit Application CC
Planning Ind Development Services
Building Ind Code Regulation Division APR,2 7 2016
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential XXX
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PERMI I APPLICATION FOR: Electrical
PROPOSED IIMPROVEMENT-LOCATIOW
Address: 8650 s Ocean Or 1002
Legal Description: Regency Island Dunes,Building 1,Unit 1002
3534-501-0050-000-2
Property Tax!D M. Lot No.
Site Plan Name: Block No..
Project Name:
Setbacks Front Back: Right Side: Left Side:
FDETAILEb DESCRIPTION OF WORK:
Remove two wall mounted light fixtures, rework wiring as required and install three wall mounted
fixtures;
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CONSTRUCTION INFORMATION:
—Adclitionla workto a er rmed under tispermit—Checka appy:
HVAC L—J Gas Tank ❑Gas Pipinf _Shutters Windows/Doors
ZE[elctric 0 Plumbing Sprinklers 11 Generator E]Roof
Total Sq.Ft of Construction: .Ft.of First Floor:
Cost of Construction:$ 500.00 UtilitiesSewer a Septic Building Height:
OWNE!RAESSEE: CONTRACTOR:
Name Powell,Stephen Powell,Vickie _ Name: James M.Rowell
Address)I 1255 Pineview Or _ Company: Jimmy Rowell Electric Service
city: Mdrgantown, State•wv Address: PO Box 2262
Zip Codii: 26505 Fax: _ City: Stuart State.FI
Phone No. _ Zip Code: 34995-2262 Fax: 772.220.2755
E-Mail: _ Phone No. 772.220.8880
Fill in fele simple Title Holder on next page(if different E-Mail: JRowellElectrlc ,AOL>com
from t:hi Owner listed above) State or County License: EG-13002740
If value of construction is$2500 or more,a RECORDED Notim of Commencement is required.
1 772-220-2755 p.2
Apr 26 16 02:360 Jimmy Rowell Electric
SUPPLEMENTAL CONSTRUCTION UEN LAWN INFORMATION: .:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY- Not Applicable
Name: I — Name:
Address:I Address:
City: I State: — City: Stat
Zip: i Phone- — Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: NotApplicable
Name: Name:
Address:1 Address:
City: I city:
Zip: I Phone: Zip: Phone:
I certify tCounty
no work or Installation has commenced prior to the issuance of a permit.
St.Lucie , makes no representation that Is granting api!rmit will authorize the permit holder to build the subject stricture
which is in;conflict with any applicable Home Owners Associa-ion rules,bylaws or and covenants that may.restrict or prop bit such
structure.I 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 accordaince with the approved plans,the Florida Building G)des and St.Lucie County Amendments,
The following building permit applications are exempt from u;%clergolng a full concurrency review:room additions,
accessory Istructures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential usi.
WARNI�G TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice-'or
improvements to your property.A Notice of Commoncement must be recorded and posted on the jobsite
before tie first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work o,r.recording your Notice of Com*nencement.
C-V
Z'A S
Si afore of Contractqrr/License Holder
r.naWre of Owner/LesseQ,Ag�ent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF f&/t COUNTY OF
The forgloing instrument was edged before me The forgoing instrument was acknowledged before me
)46/_ /9- b y
or.rcknowl
thls,?%;� day of 20 &,by this 24 day of 20
--Z 4,'11-4 AA 12—f
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida (Signature of Notary Public-State of Florida
Personally Known Y-5LX OR Produced Identification Personally Known 2�'- OR Produced Identification
Type of Identification Produced -.,,:.Type of Identification Produced
iERESA L BENNIGAN
commlsson Al.. E.Cbmirnission No. Seal)TERESA L BENNIGM
public-state oi FI)ri'
Dec tA-j Corrint.Expires Notary Public-State of Fla i i a
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REVI FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MAN43ROVE
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