HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: J Permit Number:
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: To Select from dropbox, click arrow at the erid of line
PROPOSED IMPROVEMENT LOCATION:
Address: 3351 Twin Lakes Terr. #204
Legal Description:
Property Tax ID#: l ^1 •�04-���•U�OCA Lot No. .
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing 150 ampere 30 circuit MLO Federal Pacific panel that insurance company will not
insure, and replace with Cutler Hammer BR series 150 ampere MLO panel to meet insurance
requirements
CONSTRUCTION INFORMATION:
AaCl tional work to bre_61prformedunder t is permit—c ec all appy:
13HVAC Gas Tank Gas Piping Shutters �Windows/Doors
OElectric F]PlumbingEnGenerator
Sprinklers t..:]Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ /' Utilities:I]Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:'
Name
Kerry Collins Name: OmaS uinn�--
Address:3351 win Lakes Terr. #204 Company: All ours, Inc.
City: Ft. Pierce State:_ Address: 1 7 5 1 SEE FairfieldStreet
Zip Code: 34951 - 5 ax: City: PO Lucie State:��
Phone No. Zip Code: 34983 Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: Tell§puth.ne
from the Owner listed above) State or County License: EG#0001 590
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: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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.
inconsideration 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordinumr Notice of Commencement.
s
_Signature of Owner Lessee/Agent Signature df Cofitract?Kicense Holder
STATE OF FLORIDA' STATE OF FLORIDA
COUNTY OF 6L�p COUNTY OF��i .LK&Q� E_
The forgoing instrump9t was acknowledged before me The forgoing instrument was acknowledged before me
this 11 day of_ 20 L6-by this_day of -1l-AJ is 20 I(,4 by
[6)lJll�ln 1JP via. co &-Act cc-e_
of person acknowledging) (Name of person acknowledging)
0
Snature of Notary Pub ic-gpte of Florida) (Signature of Notary Public-State of Florida)
Personally Known_OR Produced Identification Personally Known OR Produced Identification
-M T of Identification Produced Type of Identification produced i koi:'Dp, �YdJ'e"S UCzc
-O SOD, Yf3 ' S9 9X
Commission No. P�t� ��da Commissio No-. I)
PSN 0�6
NPNN,S�a`e a20?0 �.� ",,�� BE LINDA W.SUTCLIFFE
Q�b ;cis F 1 PSS State el F19F!ds
= s o
Revised 07/15/2 No�a�omR`ESoo#o�a\No�acY �' commission M FF 966234
,,,per+��a*,� �� My.Comm.EKphes Apr 17,2020
REVIEWS F - ,;ZO'ING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COU11f ° ''.REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS