HomeMy WebLinkAboutBuilding Permit Application 2016-08-15 1031 AULT BROTHERS INC 7722830321» P 3/4
ALL APPLICABLE(INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��1
Date: �l- b Permit Number: `U 0o
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Building Permit Application AUG 15 2016
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 X Residential
PERMIT APPLICATION FOR: Electrical El
PROPOSED IMPROVEMENT LOCATION:
Address: S.Ocean Dr-Job located at:9427 S, Ocean Dr,JB, FL(Bldg#10)34957
35 36 41 From Int W RNV AIA and S LI 6w atm 6 00 On 35 mlrn 07 secw 91g SD 5 LI 398.27 ZFt to POB,Th Cad A S$0 U 878,05 ti TM N01 Ogg 24 Mm 53 eec
Legal Description:
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W6ol.lo R,Th N 83 deg 35 min 07 sac E 856.936,th$01 dqg miny 31 ssc 119.64A.MSN 66 deg 37 min 29 sec E 46.31 RI+h,,5 01 deg 222 wWn 31 sac E 100.67 h,ata(OR647-1676;650-1513)
PropertyTax ID#: __ 00-2 � � `� _ ( JL
9 y D- 000.0 Lot No,
Site Plan Name: cc 21= Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
FDE((AlLED DESCRIPTION OF-WORK:
Replace main breaker
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CONSTRUCTION INFORMATION:
i iona wor to e e orme under is perm( —c ec a appy:
❑HVAC 11 Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing ❑Sprinklers ❑Generator ❑Roof
I Total Sq. Ft of Construction: Sq.Ft.of First Floor:
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Cost of Construction:$ Utilities:OSewer❑Septic Building Height:
OWNtR/LESSEE:- CONTRACTOR:
Name Island village II of HI OA Name: Michael Dale Ault
Addresis.1930 Commerce Ln#1 Company:Ault Bros, Inc., Electrical Contractor
City: Jupiter State: FL Address: PO Box 1528
34958 Port Salerno FL
Zip Code: Fax: City; State
Phone No. Zip Code: 34992 Fax: 772-283-0321
E-Mail: Phone No. 772-283-5520
Fill in fee simple Title Holder on next page(if different E-Mail: aultbros@yahoo.com
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from the owner listed above) State or County License: EC0001693
If value of construction is$2500 or more,a RECdIRDED Notice of Commencement is required.
2016-08-15 10:31 AULT BROTHERS INC 7722830321>> P 4/4
WSRU9110NVEN UAW INFORMATION:
IDIE5IGNER/ENGiNEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address: _
city: I State: City: State:
: Zip: I Phone:_ Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: _ Name:
Address: Address:
city: City:
Zip: Phone: Zip: Phone:
I
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,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 sti uctures,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.
to J I X s
km-40tp_Signatureiof Owner/Lessee Agen# Signature ont ctor/Lice of er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 1Mct r4-irn COUNTY OF f��'ln wic
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 15 ~day of ,+ 20 1�by this]Sp�day of r ,+ 20 _L_�t_by
c' I QIf l�I i Y I ' lii�GP1 hCAC tN"i+
(Name of p rson acknowledging) (Name of person acknowledging}
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(Signature bf Ncifary Public-Sta a of Florida) (Signature of Notary Public-State of Florida}
PersonallyKnown\L OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. V Qon No. '
'r 7M1rC1E=L;
„ nus MICHELLE MARIE MARTIN
tate o1 floriaa
N m ib on 0 FF 902099 _ Commiuion N FF 902090
Revised 07/15/2014 „ My comm•Expirae Jul 23,2019 My Comm.EKpirgt aul 28.2010
NMlpnil Notary Alin. A tloiid/A tliaipti Nationl NCtih+ ►
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE ”
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