HomeMy WebLinkAboutBuilding Permit Application 2016-06-17 11:07 AULT BROTHERS INC 7722830321» P 113
ALL APPLICABLk INtFFO� UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date- ` �I Permit Number:
V
r
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
Address: 10680 S.Ocean Dr.,Unit 9307, Jensen Beach, FL 34957
Legal Description: Island Crebt Condo Unit 307 and Undiv Share in common elements
11/37S/41E
Property Tax ID#:4511-516-0034-000/2 Lot No.�
Site Plan Name: OR 3862-1780 Block No.
Project Name:
Setbacks Front Back: — Right Side: Left Side:
DETAILEDDESCRWnON-CIF WORK:
Modify existing circuitry to accommodate new kitchen cabinetry
CONSTRWICIN INFORMATION:
Additional wo oe orme under is perm –c ec a appy:
HVAC E]Gas Tank QGas Piping _Shutters Windows/Doors
U Electric Plumbing Sprinklers El Generator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 1,000.00 Lltilities:llSewer EJSeptic Building Height:
OWNERAMEIE: CONTRACTOR.-
Name
ONTRACT .Name Tom S. Joseph Name: Michael Dale Ault
Address:_3060 Normandy Company: Ault Bros, Inc.,Electrical Contractor
City: LaSelle ON, State:_ Address: PO Box 1528 -
Zip Code: N911 1C8 Fax; City; Port SalernoSQate.FL
Phone No.1-561-403-4250 Zip Code: 34992 Fax; 772-283-0321
E-Mail: Phone No. 772-283-5520
Fill in fee simple Tide Holder on next page I If different E-Mail: aultbros@yahoo.com
from the Owner listed-above) State or County License: F00001693
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
2016-06-17 11:07 AULT BROTHERS INC 7722830321» P 2/3
SUPPL MEWAL41 .•+�• F#M`'Llk ''#NSC ItATIt a
b871 NEW/ENGINEER: _Not Applicable MORTGAGE COMPANY., _Not Applicable
Name: Name:
Address: Address:
City: State: C1ty: State:
Zip: Phone: Zip: Phone:
FEE SIIMKE 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 yy�I1 authorize the permit holds to build the subject y�r�cture
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 Cedes 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 the first inspection.If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
ir,)0, 11A,/, �Zvl
5
_Signature of Ownter/Lessee/Agent f Signature of Contract r icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF �r�;r. _ COUNTY OF Mnrk�.
The forgoing instrument was acknowledged before me The forgoing instrument was acknoarledged before me
this 1'7t`day of : )n e 20 jLby this Zday of J u l-)c 20 &_by
(Name of person acknowledging) (Name of person acknowledging)
I�
1 (Signat re of Notary Public-State of Florida) (Signa re of Notary Public-State of Florida)
I Personally Known V OR produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
MICHELLE gRK&I
Commission No.1~F-� °J 0 2 I q o Notary Public- 0• F" a 1IELLE MARIE MAH
Commission Vifty PWW-Stare of FI da
23.9019
Based Ihraupb 12slan a FF Rn
29
Mb Comm.Exlilm Jul 28, 19
Revised 07/15/2014 eww*i4eli I'No
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS