HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / �/
Date: 412212 0 1 6 Permit Number: /�y1`
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RECEIVED
Building Permit Application
Planning and Development Services APR 7 2016
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 0
PROPOSED IMPROVEMENT LOCATION:
Address: 3501 Sneed Rd.Fort Pierce, FI.34945
Legal DescriI tion: 28 35 38 THAT PART OF SE 114 OF SE 114 OF'MPDAF:FROM NE CORNER OF SE 114 OF SEC RUN N 89 54 49 w 4259 FT
TO W RNV LI OF SNEED RD AND POB,TH CONT NWLY 726 FT,TH S 00 36 21 E 725 FT TO W RW LI OF SNEED RD,TH'N 00 36 21 E ALG W RNV 300 FT TO POB(5.00 AC)
Property TazD2228441-0002-000-5: Lot No.
Site Plan Name: Block No.
Project Name: Stewart Feketa
Setbacks !Front Back: Right Side: Left Side:
[DETAILED! DESCRIPTION OF WORK:
New circuit for jetted tub in master bath
CONSTRUCTION INFORMATION: -
Additional Work to bf]rformed under this permit—check all appy:
011VAC ,Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers E]Generator Roof
Total Sq. Ftlof Construction: 10.00.00 So. Ft. of First Floor:
Cost of Construction:$ 1000.00 . Utilities:oSewerSeptic Building Height:
i
OWN ER/LESSEE: 'CONTRACTOR:
Name Stewart Feketa Name: Michael Flaxman
Add ress:3501 Sneed Rd Company:,Energized Electric
,LLC
City; Fort PierceState: FI" " Address: 645 NW Enterprise Dr#107
Zip-Code-,134945 Fax: City; Port-$t:_.Lucie State:Fl
Phone No.
1772-201-8216 Zip Code: 34986 Fax:
E-Mail: . l Phone No. 772-398-4448
Fill in fee simple Title Holder on next page(if different E-Mail: antonella@energizedgenerators.com
from the Owner listed above) State or County License: EC13006279
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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
WARMING 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.
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_Signature of er/Les a/Agent Signature of nt ctor/L€ce a Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF _71)i%. L L-e-, COUNTY OF
The fg€rgoing InstrLment was acknowledged before me The forgoing instrument was acknowledged before me
this _day of r' 2Q Gby this a_1 day of '� � 20 J_LD by
e arl LGIL
{Name of person acknowledging I {Name of person acknowledging)
)OAC 6--
{Signature of Notary Public-State of Florida} (Signature of Nntary Pybtic-State of Florida)
Personalty Known OR Produced Identification Personally'Known _ OR Produced Identification
Type of Identification Produced T Identification Produced
�"pBs'° ARBARA WA ' 00 N Sion No. SAJ�BARA WATS
Commission No.F�1 3 ,f a ART
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MY COMMISSION#F 155500 �•R�vn°pi
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