HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/2712016 Permit Number:
J f zi I�i
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982 Residential Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 10204 Harbour Ridge Blvd 2A
Legal Description: MILE LAKE VILLAGE BLDG 1 UNIT 2A (OR 3809-2163)
Property Tax ID #:
4426-801-0002-000-3 Lot No.
Block No.
Site Plan Name:
Project Name: BUONCORE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL 8 RECESSED CANS, 4 PADDLE FANS, 4 UNDER CABINET LIGHTS
ALL FIXTURES WILL BE LED
CONSTRUCTION INFORMATION:
J!'',aditi5nal work toe e Dime un er t is permit — c ed, a app Y:
OHVAC Gas Tank F]Gas. Piping Shutters ElWindows/Doors
Electric 0 Plumbing 0Sprinklers ElGenerator 1:1 Roof
Total Sq. Ft of Construction:
Cost of Construction;
S Ft. of First Floor:
Utilities. Sewer Q Septic
OWNER/LESSEE:
NameMICHAEL J BUONCORE
Address: 36 BALSAM LN
City: COMMACK State:NY
Zip Code: 11725 Fax:
Phone No.
F -Mail
Fill in fee simple Title Balder on next page ( if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name: FRANK FITZPATRICK
Company: ALFRED BRESSAW ELECTRICAL CONT INC
Address: 654 NE DIXIE HWY
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax: 7723348776
Phnn, Nn 7723344014
E -Mail: ABRESSAW@HOTMAIL.COM
State or County License: ECO000915
If value of construction is $25OOi or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: i
DESIGNER/ENGINEER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
State:
BONDING COMPANY. _Not Applicable
Name: _
Address:
City:_
Zip:
Prone:
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.
In consideration of the granting of this requested permit, l 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 reco>rdinR your Notice of Commencement.
— Signature of Ownerf/Lesse-6/Agent
STATE OF FLORIDA
COUNTY OFJ�
The fo g ing instrurpent vps aiknowledged before me
thisay of 20by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida }
Personally Known AOR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(SU4 Lopes
State of Florida
or n -U Commission No, FF 158142
Signature of Cont, ctor/License Halder
STATE OF FLORIDA
COUNTY 017-
The
FThe forgoing instrunntv4ps acknowledged before me
this of _-) 2!J_by
(Name of person acknowledging)
(Signature of Notary Public- StatgoWorida }
Personally Known C— OR Produced Identification
Type of Identification Produced
Commission No_ V_t_ (S +I (Seal)
o ��Y AUQ Silvana Lopm
SWe to #
Florida
,ate My Commission Expires 1110212018
Comm(ssion No. FF 158142
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