HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FO APPLICATION TO BE ACCEPTED
l ate; 0712112016
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1.553 Fax: (772) 462-1.578 Commercial X Residential
PERMIT APPLICATION FOR- Electrical
PROPOSED IMPROVEMENT LOCATION:
_
Address: 3385 3 US HVWY 1 Fort Pierce FL
LegsI Description-. MARAVI LA GARDENS SID-Ur1rr TH FF- N 200 FT OF LOT 172 AND S 2[Y7 FT OF LLAT 173 -LESS Ur, i AND 1-17SS W 64 FT -(UR 2496-723)
Property Tax ID #; 2427-601-0032-00-5
Lot No -
Site Plan Name:
Block No.
Project Name., Mike Dragone
Setbacks Front Back: Right Side.
_ Left Side=
DETAILED DESCRIPTION OF WORK.,
_
stand alone service for perimeter lighting
CONSTRUCTION INFORMATION:
Add itiona I wo rk teae e Orme ' under this permit — Che
a appy;
�Wirldo
IJHVAC L_I Gas Tank ❑Gas Piping
=Shutters ws/Doors
Rhlectric EJ Plumbing []Sprinklers
l Generator � Roof
Total Sq. Ft of Construction: _
SFt. of First floor-.
Cast of Construction: 1550-00 ut-Ilities
Seiner I �n[ Septic Building Height:
OWNER/LESSEE:
EO)NTRACTOR:
l
Name IREH Investmnts LLC
Narne: Donald 5_ Gre n
Address: Ptd Box 6201
Company- ,Licari Gmen Electric
-
City: Jensen Beach State_ f L
Addrr;ss; 1305W1 St Street
Trip Code: 34957 Fax:
City: Fort Pierce
State; FL
Phone No-
Zip Code, 34982 Fax -
E -Mail:
Phone No. 772-418-5789
Fill in fee simple Title Holder oar next Page (if different
F -Mad, dongreenelectric €mail. corn
from the Owner listed above)
State or County License: EC1 007447
_
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: X NotApplicable
Name,
Name:
Address:
Address:
City: State:
City: State:
Zip: Phoni:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not ,applicable
Name.IVa
ripe:
Address: - — ----- _
Address: -
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or in5tAlat'iOn has commenced prior to the issuance of a permit.
St. Lucie Count makes o representation that is granting a permit will authorize the permit holder to build the 5ubiect structure
which is in conflag
ict with any applicable Hume Owners AssQcaation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners. Amociation 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 accordancr with Thr- appr€avr d plans, the Florida Building Codes and 5t- 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 accr3ssory uses to another nary -residential use
WARNING TO OWNER. Your failure to Record a Native of Commencement may result in your Paring twice for
improvements to your property- A Notice of Commencement must be recorded and posted on th(i jobsiite
before the first inspection- If you intend to obtain financing, consult with lender or an attorney before
commencing work or -recording our Notice ofCommencement.
y
SipeatUre of fawner/ Lessee/Agei7t Signature of ContractoriLicense Holder -
STATE OF FLORIDA STATE OF FLORIDA
I COUNTY OF M Af--r-r ' -_ -- _ - - . COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ?. day of , j k -7i N=p 2D'u�-hy this 2ZdaV of z [� by
a, OKinald S Green Donal B Groan
— -
ame of person ;ick owledpi ,) (Name of pe n acknowwledging )
vbu(
{ i natu . a. Notary Public - State of arida {Signature of blic- tat7e cf Filch A I
Personall nown OR Produced ldentifitat on Personally Kno OR Produced Identification
Type= of Identification Pa itluced s Type of Identification Produced = _v
Commission No. - - CnmmiSsiorl iia.Y . iOY CHRIS paw
N Ij*f611NE COPELAND M1Y CIJM.hfISSt(3NiI #rfF94M
FAM` Eft #FF94N42 EXPRES: JM D5 2020
�Dovhf1411
FJ ARES: ,iiia 05, 202E
111mugh 1st State [nsurarme
Revi;gcd07/15/2014 �kf�lg�llValt�hlstSl�elr�ueanee
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATI0N SEA TURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS