HomeMy WebLinkAboutBuilding Permit Application I`I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/1/2015 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 Residential X
PERMIT APPLICATION FOR: Electrical
PROµP�Ouq'l UIPTRQV.;,EMENT LO'CATIO`N
Address: 1615 N 42 nd ST
Legal Description: SUNLAND GARDENS-SECTION 4-BLK 46 LOT 1-LESS N 10 FT AND ALL OF LOTS 2 AND
3(MAP 24/06N)(0.58 AC)(OR 959-1176;319-341)
Property Tax ID#: 2406-506-0007-000-4 Lot No.2&3
Site Plan Name: Block No. 46
Project Name: Waight Garage
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Setbacks Front Back: Right Side: Left Side;:
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DEl'AILEb DESCRIPTION OF WORK
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Electric Service Change/Relocation I�
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CONSTRUCTION INFORMATION �6
Additionalworkto . e e ormed under tis permit—c—check all appy: �I
HVAC E]Gas Tank ❑Gas Piping _Shutters ! `Q Windows/Doors
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Z_Electric 0 Plumbing SprinklersGenerator I ❑ Roof
Total Sq. Ft of Construction: 2160 Sq. Ft.of First Floor: 2160
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Cost of Construction:$ 650.00 Utilities:0Sewer L Septic I Building Height: 9'
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;"OWNER/LESSEE ¢ gip{ CONTRACTOR. �r ,ai .
Name Joseph B Waight Name: Gerard Thelusca �y
Address:1615 N 42 nd ST Company: Stony ElectricallContractor LLC
City: Fort Pierce State:FL Address: 1311 Fairfax circle East
Zip Code: 34947 Fax: City: Boynton Beach i State:FL
Phone No. Zip Code: 33436 Fax: 772-907-0420
E-Mail: Phone No. 772-201-2850 �
Fill in fee simple Title Holder on next page(if different E-Mail: rodwaller1 @gmail,;com
from the Owner listed above) State or County License: EC13006942
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: j _Not Applicable
Name: Name: I
Address: Address: I
City: State: City: I State:
Zip: Phone: Zip: Phone: I
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: I Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone: I
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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 toat 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 A'mendme'nts.
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 I;ender o'r an attorney before
commencing work or recording our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/Licens Holde
STATE OF FLORIDA "'
STATE OF FLORIDA
COUNTY OF �VC1� COUNTY OF S4- L 6'�P
The fo going instrumen was acknowledge fore me The for instrument was a knowledg!4by
fore me
this T day of 20 . by this day of 20
6ero\A 7AP.(1jScA 7%e1J5C_'4
(Name-of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida (Signature of Notary Public-State of Florida
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Personally Known OR Produ\§�i��cat ///i Personally KnownOR Prodnt►n0�/i
Type of Identification Produced ;•'M\SSION••.•—' Type of Identification Produced ��O:'•\SSION•••. �
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Commission No. _ �(Fea1•® u':k_ Commission No. = (Seal Ln�*
2 #FF 062912 :o= * • #FF 062912 ;Q a
%9'9•�•°�a�bI�1cUc�•. ��,�. I �i 9•• Nora BondedU��•:<Z
Revised 07/15/2014fill,
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION I SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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