HomeMy WebLinkAboutBuilding Permit Application Apr 2616 02:35p Jimmy Rowell Electric 772-220-2755 p.1
I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED nn
Date: ATiril 26,2016 Permit Number: ® V
�- - � X11•_ � �r
e
Building Permit Application REC IVU
Planning I nd Development Services APR,? 2016
Building alnd Code Regulation Division
2300 Virgfnio Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential XXX
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION
Address: 8650 s Ocean Or 1002
Legal Description: Regency Island Dunes,Building 1,Unit 1002
PropertyTax ID##: 3534-501-0050-000-2 Lot No._
Site Plan i ame: Block No.
Project Name:
Setbacks I Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove two wall mounted light fixtures, reworl:wiring as required and install three wall mounted
fixtures,
CONSTRUCTION INFORMATION:
Adclitronla workto e ner rmed under tis permit—c =aapply:
HVAC IJ Gas Tank ❑Gas Pipinf _ hutters Windows/Doors
OEI Ictric 0 Plumbing Sprinklers []Generator Roof
Total Sq.Ft of Construction: SO.Ft.of First Floor:
Cost of Construction:$ 500.00 Utilities:OSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Powell,Stephen Powell,Vickie _ Name: James M.Rowell
Address-1 1255 Pineview Or _ Company: Jimmy Rowell Electric Service
City: Morgantown, Stater_ Address: PO Box 2262
Zip Code: 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 fee simple Title Holder an next page(if dIfferent E-mail: JRowellElectric@AOL>com
from the Owner listed above) State or County License: EG-43002740
If value 6f construction is$2500 or more,a RECORDED Noticu of Commencement is required.
Apr 2616 02:36 1 p Jimmy Rowell Electric 772-220-2755 p.2
SUPPLE MENTA.LCONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicabie
Name: I — Name:
Address:I Address:
City: I State: City: Stat
Zip: I Phone: Zip: Phone-
. I
FEE SIMPLE TITLE HOLDER. Not Applicable BONDING COMPANY: Not Applicable
Name: I Name:
Address:I Address:
City: I City:
Zip: I Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie pIuntymakes no representation that is granting a pi stricture
rmit will authorize the permit holder to build the subject strture
which is in conflict with any applicable Home Owners AssociaJon rules,bylaws or and covenants that may restrict Dr proh bit such
structure'Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideraT
tion of the granting of this requested permit,I do hereby agree that I wilt,in all respects,perform the work
in accorda ce with the approved plans,the Florida Building G)cles and St.Lucie County Amendments,
The following building permit applications are exempt from u;idergoing a full concurrency review:room addiflons,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNINIG TO OWNER:Your failure to Record a Notice of Commencement may result in your payingtwice'or
improvements to your property.A Notice of Cornmoncerrient must be recorded and posted on the jobsite
before tl�
improvements
first inspection. If you intend to obtain fi aancing,consult with lender or an attorney before
commencing work or recording your Notice of Com*nencement.
S
Anatur90161
' 6 of Owner/LesseQ,�gent re of Contractqrr/License Holder )
.- 1
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was lacknowl edged before me The forgoing instrument was acknowledged before me
- day of&,e-t I —
thisz� 20 &_-by this 2�4 day of-A.,, 20 lo�$ by
R!,
(Name of Person acknowledging) (Name of person acknowledging)
Jf
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida
Personally KnownV--I-X OR Produced Identification Personally Known,?,- )IR Produced Identification
Type of Identification Produced --,--,-...':Type of Identification Produced
TERESA L BENNIGAN
-7 PCbmmission No. S e
s
commis i n No. rr public-State of FI)ri, al)TERESA L BENNIGAI
Nif Gomm.Expires Dec 29,2W Notary Public-
PqState of F IQ i 3
rnm rxpI- ner9_C i
4 FF 71
Bondednlf cuoh Ndvl,!. commissior 0 FF 71718
Revised 07/151204 eor.deJ Through 14 dional Notary A P.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INMALS1