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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: l� Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-2553 Fax: (772) 452-1578 Commercial Residential PERMIT APPLICATION FOR: Electrical PROPOSEDIMPROVEMENT LOCATION: Address: 1199 COUNTRY GARDEN LANE Legal Description: WHITE CITY SEC/TOWNfRANGE 09136S/40E Property Tax ID #: 3403-502"0232-040-4 _" Lot No. - Site Plan Name: Block No. Project Name: SULLIVAN RES Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: INSTALL BRANCH WIRING FOR NEW SEWER GRINDER STATRION. INCLUDES ONE WR/TR GFCI RECEPTACLE. AND IN -USE BUBBLE COVER FOR FLOAT & PUMP TO PLUG INTO CC3NSTRUCTION INFORMATION: j'``it""jjionaTwor� o e& aerfarm under t tris permit - c appy: F1HVAC � Gas Tank 1:1'GasPiping Shutters Lt Windows/Doors Electric FlPlurribing Sprinklers Generator Roof Total Sq. Ft of Construction: S Ft. of First Floor: _ Cost of Construction: $ 700 Utilities: 0 Sewer 0Septic Building Height: OWNER/LESSEE: CONTRACTOR., Marne KATHLEEN SULLIVAN" Name: CHARLES HOPPMANN m- - Address: 1199 COUNTRY GARDEN LANE Company: BELLWETHER ELECTRIC CO City: FORT FIERCE. State: FL Address: 571 NW MERCANTILE PL #103 Zip Code: 34982 Fax: City: PORT ST LUCIE State: FL I Phone No. Zip Code: 34986 Fax: 772-62.1-9164 E-Mail:� Phone No. 772-621-9494 _ Fill in fee simple Title Holder on next page ( if different E -Mail: BELLWEi'FIER.ELECTRIC{wGMAIL.COM State or County License: EC13004122 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION .LIEN LAW INFORMATION: 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: 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 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 belfor%,the first inspection. If you intend to obtain financing,,C°o`nsult with lender or an attorney before cpmrgencing; woxk or recording your Notice of Commencerdent,' Owner/ Agent/ Lessee STATE OF FLORIDA COUNTY OF STIUGE The forgoing instrnt wa acknowledgedpefore me this day of m 20 1< by rlonaa i Personally Known ✓ OR Produced Identification Type of Identification Produced Commission No. EE859431 EXPIRES December 19, 2016 Revised 07/15/2014 4U�. t95-0153 Ftwwa4olaryServicu ow Signature STATE OF FLORIDA COUNTY OF STIUGE The f r oing ins tr m n s acknowledged before me this, day ofM A4 20_k� by �d 0 (Name of person acknowled i g ) (Ignature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced No, EE859431 ,:•:° CHRISTIN C AVEIRO ION a EE859431 EXPIRES Decamber 19, 2016 �4or, 395-0153 REVIEWS FRONTZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: N�40 J ~: i I A 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_ PERMIT APPLICATION FOR: Electrical PROPOSED IMPROVEMENT LOCATION: Address: 1199 COUNTRY GARDEN LANE Legal Description: WHITE CITY SEC/TOWN/RANGE 09/36S/40E Property Tax ID #: 3403-502-0232-040-4 Lot No. a Site Plan Name: Block No. W_ Project Name: SULLIVAN RES Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION CiF WORK: SERVICE CHANGE TO REPLACE THE 150AMP MAIN BREAKER PANEL WITH NEW 150AMP MAIN BREAKER PANEL. INCLUDES NEW CIRCUIT BREAKERS CONSTRUCTION INFORMATION: —AZd�.._ arms un er Is'perml8 _— c ec a app Y; i oana war toMasTank HVAC F]Gas Piping Shutters aWindows/Doors Electric 11 Plumbing Sprinklers Roof CGenerator Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ ''800 Utilities: Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name KATHLEEN SULLIVAN Name: CHARLES HOPPMANN Company: BELLWETHER ELECTRIC CO Address: 1199 COUNTRY GARDEN LANE Address: 571 NW MERCANTILE: PL #103 City: FORT PIERCE State: FL City: PORT ST LUCIE State: FL Zip Code: 34982 Fax: Phone No. Zip Code: 34986 Fax: 772-621-9164 E-Mail: Phone No. 772-621-9494 E E-Mail: BELLWETHER.ELECTRIC@GMAIL.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: EC13004122 i If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUP,PLEMWAL CQNSTRUCT[ON LIEN' LAIN/ INFORMATLON DESIGNER ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone: MORTGAGEC OMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: — Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 thepermit 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 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 t e first inspection. If you intend to obtain financing, copsul� with lender or an attorney before co me cin work or recording our Notice of Comm enceme .- LRU.0 WvAr__�_ - � 1.. Sign re of Owner/ Agent Lessee Signature o Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE The forgoing instt was knowledgo`b-efore me this day of 20 ('� by .on d (Name of State of Florida ) Personally Known V' OR Produced Identification Type of Identification Produced Commission No. EE65 CHRI E CRAVEIRO The for (Ding instru en s acknowledged before me this day of VILAA 204 by (Name of person acknowledgin } (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. EES59431 MY COMMISSION tl EE859431 r tt EE8594 'ruM1 EXPIRES (December 19, 2016 EXPIRES December 19, 201E Revised 07/15/2014,4E)'7",iss-0153 FWWallouT ,)r' 19"153 Fic,idavown-ROM09Ca REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS