HomeMy WebLinkAboutBuilding Permit Application From:Lori Diodato Fax:(772)742-2919 To: Fax: +1(772)4621578 Page 2 of 4 11/04/2016 12:02 PM
ALL APPLICABLE INOO MUST BE COMPLETED FOR-APPLICAtlON TO B£.ACCEPTED
Date: _._ _ Permit Number:. co,
: (�-
Buildin Permit Application ( -Co
�Pldnning and Development Services
Building and Code.,Regulation Division
2300 Virginia Ave%we,.Fort Pierce Ft 34982
Phone::(.77.2)462=1553 Fax: (772)462-1578 Commercial Residential xxxx
- -- -------------
-
PERMITAPPLICATION FOR.: Electrical El�
Address: 361 Euro,peam Lane
Legal Description: palm Grove SIU BLK 1-1 Lot(0.13ac) (or 3591-2211)
Property Tax 1D#: 3410-503-0211-000-4 _---- Lot No.
Site Plan:Name: block No.
P•roject'Name: 361 European Lane ^—
Setbacks Front Back: Right Side, Left Side:
;:IS'!t,.•Y•:,>`<':�:> .>''�".aa<'>_:;^;�;.:,�:F'd:'���`.'�:.�;�.;���'.�•�.�•`���>��>��v���fir`>`:� <>� �<'>`< � '>�<� x`0-' >;>< »s`<?<.
I; Ali,��t����i�l$ I� :Q�.' �R€�;;.::-:::.::;:::;;: •;;::.::�::.;.::::
New circuits for Mini Split- (SUB PERMIT UNDER ADVANTAGE AIR'S?)
i - ----
I -
.
`:: < � >` >�_;;::.» :: . :><<>>-: �� >
Additional 4ir8r to e erformed un ert is permit check all Uriatapply:
OHVAC -- Gas Tank F]Gas Piping Shutters Windo;n/s/Dooms
LV lElectric El Plumbing. OSprinklers Generator L1Roof- Roof pitch
Total Sq. Ft of Construction:_ So. Ft:of First Floor: .. .
Cost of Construction:$ 850.00 Utilities:EJ We. Septic Building.Height:
:.:.:
Ill -1 _. :>> => >< '.'' >:: < _;' » _ >:::>: .....
NameLnuis Cipriano Name: Anthony Diodato
Address:361 European Lane. Company;.ALT Eleciric, Inc.
City: Fort Pierce Fl, Address;3108 SE Mall Terrace ---
.Zip Code: 34982 Fax: City: Port S`i Lucie -- _- State'ff
Phone No:772=5285056 Zip Codi:34984 Fax:
E-Mail:_ Phone No._772-528-5056
Fill in fee simple.Titie bolder on next page if different E-Mail: al iiodato@hotmail.com
from the 8 vyner liste.d above) State or.Couhty License:.-ERI3007369
1t value of construction is$2500 or more,a RECORDED ENotice:of Commencement is required.
From:Lori Diodato Fax:(772)742-2919 To: Fax: +1(772)4621578 Page 3 of 4 11/04/2016 12:02 PM
r:�£f%i: 'i': ::: i:::::i':....
: <ist';:':::;''...�'::�':'..:...:..:
..:::.>.:: -::>:.;.;-:.::::.:::.:.::.::.::::::..::.:.:_:::.::::::::.:.::.:.�
...•.E�,..Ei�EsaBIl3EEi�- Not�3
..;.,.. "`---=-"— .~• :.;.::: - -
I` — Applicable ��IiTGACSE.G+�l`JdPAi1iY;:•�.: Not Applicable
Marne: N.arne:
Address: Address:
City: State: City: State: i
Zip., Phone:__-- Zip: Phone.
--------. . . . :................-......--
FEE 5IMPLE TITLE HOLDER: � Not Applicable BONDING COIVIl'ANY:. Not Applicable
Name: _ Name:
Address: Address:
City: City: —
Zip: Phone:----__�. Zip: Phone:
-- i
I certlfy that no work or installation has commenced prior to the issuance of a,perrnit..
'St.Code 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 OwncrsAssociation: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,perforin.the work.
In accordance,.0h the approved plans,the Florida Building Codes and St.Lucie County Amendments.
'Chc.following bultding.permit applications:are exempt from undergoing a full concurrency review:room additions,
'accessory structures,swimming ponls,fences,walls,signs,screen robins and,accessory uses to another non-residential use-
YOlARNINGTQ OWNER:Dour failure to Record a Rotka of Cornrne»cementmay result h3 yoU?paying twice for
improvements to.your property.A Notice of Commencement must.be recorded and posted on the jobsite
before the first ihspectior:. If you intend to obtain financing,.consult With lender or an-attorney before
commencing,work or recordih 'your Notice bf Cornmencement. .
:.... �• -E!�L:f;"�.�-�-..: <-'_.<_.-s'.,, .•f•�';: H•'L-- I
Signature of Ovrt>�r/Lessee/ContraCtar'as Agent for Owner ' Signature of Contractor/License Holder ;
i
STATE OF FLORIDA ; STATE O F�FLORIDA
COUNTY OF ST LUGE i COUNTY 0FST LUG!E.
I
1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this— day of ':is,' _ 20 `�,b; ; this ' day of NOVEMBER '20 —by
ANT HONY aioUArb .Nmlow niobA-ro
(Nance of person acknowledging I (Name of person acknowledging) 1
t. � .eA'..:Ki: f f : {,•t..: 16':i. f )r.l`T:.::v_,: r.(" ,I•.4
(Signpture of Notary Public-S e.of Florida; I (Sig�-ature:bf(Votary t`Pbiic-State of Florida)
PersonallyKnown xx'cxr OR E?roduced.lclehtification. Personally Cncw n xxicx pq produced Idznt'tfication
Type of Identification.Pro Type of Identification Produce
i� i�iut�l',�tv0M to
�t9t
Commission Na. - Commission No. ' ' iIl ,f 19
WM5187 i
�•.�, Bated thru AaMn NOW' I %��� ��� Expires:
Revised 07/15/2014
REVIEWS FRONT ZOWNG SUPERVISOR. FLANS I VEGETATION SEATURTLE MANGROVE �
COUNTER REVIEW REVIEW REVIEW j REVIEW REVIEW REVIEW l
DATE i
COMPLETE
_
INITIALS
i