HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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 end of line
Address: 107 PEPPER LANE
Legal Description: BAY TREE LOT 15 ( OR 3140-1950
Property Tax IDN: 4511-503-0021-000-8 Lot No. 15
Site Plan Name: Block No.
Project Name: CHRIS KANAKIS
Setbacks Front Back: Right Side: Left Side;
INSTALL A NEW 150AMP 40 CIRCUIT PANEL WITH NEW BREAKERS. THIS WILL INCLUDE
AN INTERLOCK AND RECONNECTING THE EXISTING 30 AMP GENERATOR OUTLET. UPGRADE
GROUNDING AND REPLACE THE ALUMINUM WIRE FEEDING THE PANEL FROM THE METER
WITH COPPER WIRE.
onai orx ie UU Tank
u ue
Piping c�M1 Q
Shutters
❑
Windows/Doors
HVAC Gas
Electric Q Plumbing
(t"❑��"((Gas
Sprinklers
[]Sprinklers
Generator
01
Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 1500
Sol Ft. of First Floor:
Utilities:USewer OSeptic
City: State: _
Zip Code: Fax:
Phone No.
E -Mail:
Fill In fee simple Title Holder on next page ( If different
from the Owner listed above)
If value of
or more, a RECORDED
Building Height:
Natne: JAMES P WILLIAMS
Company: ARLINGTON ELECTRIC
Address:3251 SE DIXIE HWY
City: STUART State: FL
ZlpCode: 34997 Fax: 772-287-2380
Phone No. 772-287-1353
E-Mail:GREGG@ARLINGTONELECTRICINC.COM
State or County License: FC0000127
Commencement Is required.
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MORTGAGE COMPANY: _ Not Applicable
Name;
DESIGNER/ENGINEER: _
Name:
Not Applicable
Address:
Commission # FF 38793
MANGROVE
REVIEW
Address:
City:
Zip:
Phone:
State:
City: State;
Zip: Phone;
FEE SIMPLE
Name:
TITLE HOLDER: _
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address;
l
Address:
City:
Revised 07/15/2014
City:
Zip:
Phone:
Zip; Phone:
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St. Luc a Count yY makes no represetlltatlon that Is granting a ppermit %II authorize the permit holder to build the subject structure
which is In cmttlict with any appllcaUle Home Owners Assoclailon rules, bylaws or anQ covenants that may restrict or prohlbit 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 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
_
Stat of Owner/ Lessee/Agent
STATE OF FLOR1rt
17/
COUNTY OF,
Thef ng instrum t was acknowledgep before me
thisl day of 20 by
of Notary Public- State
Known
cee tv �12u �, S
Stgnat re o ontractor/Llcense Holder
STATE OF FLORID
COUNTY OF
The forgoing Instrumen vas acknowledged before the
till day of is 20 /* by
(Neme�cf person acknowledging)
Type of
of Notary
of Florida)
t
Commission No i `:
Notary Public . State m Hor
Aly Cor(9ed1)pires Aug 2, 2017
i s —.� %_ p ,,,y p„I,i1 Sr to o1 Florida
Commission No. �.; Comm lid.” Aug 2. 2017
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
Commission # FF 38793
MANGROVE
REVIEW
Comousnon 4 FF 38793
mrouah National Notary Assn
F
S{h t o mal Ne sr h sn
r
l
.
Revised 07/15/2014
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
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