HomeMy WebLinkAboutBuilding Permit Application Sep. 2. 2016 9: 37AM No. 1342 P. 1/4
ALL APPLICABLE INFO MUST BE COMPLETEb FOR APPLICATION TO BE ACCEPTED
Date: 09102!2016 Permit Number:
LIVED
Building Permit Application SEP 0 2 2016
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 commercial Residential X
PERMIT APPLICATION FOR; Electrical
Address: 3354 NW Perimeter Road
Legal Description: Wide Waters SID Lots 26&27 (OR 1063-2822: 1315-1663: 1$07-2473: 1429-560: 3761-2414)
Property Tax ID#: 4436-510-0030-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Johnson Residence
Setbacks Front Back: Right Side: Left Side:
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AdditionalworKtopenertormed under this permit—check all that appy:
LJHVAC Gas Tank ❑Gas Piping _Shutters []Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SQ. Ft.of First Floor:
Cost of Construction:$ 1,000.00 Utilities.0Sewer 0Septic Building Height:
Name Patricia A Johnson Name: Raymond B Murdock
Address-3354 NW perimeter Road Company: Malone Electrical Solutions, LLC
City: Palm City State: Fl, Address: 1540 Donna Road
Zip Code: 34990 Fax: City: West Palm Beach State:FL
Phone No, Zip Code: 33409 Fax: 561242-0681
E-Mail: Phone No. 561-242,0680
Fill In fee simple Title Holder on next page(if different E-Mail: Lratliff@maloneelectricalsolutions.com
from the Owner listed above) State or County License: EC0002001
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
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Sep, 2. 2016 9:37AM No, 1342 P. 2/4
DESIGNER/ENGINEER; _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Add rens: 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 thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that mag, 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 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 re or ' g your Notice of Commencement.
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Signature of owner/Lessee Contractor as Agent for Owner Signatu a of Contractor/License Holder
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Revised 07/15/2014
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