HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/17/16 Permit Number:
RFUIVED NOV 12016
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
PROPOSED IMPROVEMENT LOCATION:
Address: 2027 W. Esplanade W.Ave
Legal Description: Cortez Estates unit 1,Blk A, Lot 9
Property Tax ID#: 2421-607-0009-000-5 Lot No.9
Site Plan Name: Block No. A
Project Name: Torresson Service chang
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION rOF WORK.
Service Change: Rplace existing panel with 200 amp main breaker panel and breakers,replace
meter,service drop and bonding
CONSTRUCTION INFORMATION
Additional work toe nerform6d under this permit—check all apply:
❑HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ElPlumbing ❑Sprinklers ❑Generator Roof Roof pitch
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,800.00 Utilities:Sewer❑Septic Building Height:
-OWNER/LESSEE:,, CONTRACTOR':
Name Beth Torresson Name: Ronald Herman
Address:2027 W. Esplanade W.Ave Company: RON HERMAN ELECTRIC INC.
City: Fort Pierce State:FL Address: 2573 SW SAVONA BLVD
Zip Code: 34982 Fax: City: PORT ST LUCIE State:FL
Phone No.772 215 9712 Zip Code: 34953 Fax: 772 871 1312
E-Mail: Phone No. 772 871 9007
Fill in fee simple Title Holder on next page(if different E-Mail: ronhermanelectric@comcast.net
from the Owner listed above) State or County License: 13006883
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
PPLEMENTAL,CONSTRUCTION.LIEN LAW INFORM1.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:rcu,%niC MAC, Qeraj Mor�A�3� `�A;&'
Address: Address: 10. BGG 66043
City: State: City: bcJ as State: -1C
Zip: Phone: Zip:`15;L65 Phone: 1
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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 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 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 recording our Notice of Commencement.
4d _�(L2 '9JAkfjt� s
Si ner/Les a /Contractor as Agent for Owner Sign ctor/Li c nse Holder
STATE OF FLOjtIDA STATE OF FLO13IDA
COUNTY OF SS 3►. Ly C-,\R. COUNTY OF Sk, Lvct\
The forgoing instrument was acknowledged before me The forgoing instrumept was acknowledged before me
this ('1 day of tl'�OJ 20 kG by this\l day of .20 Vo by
%..'0V-'0 ` N K6NNCK\�N \AeC4y"a,
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu c-State of Florida) (Signature of Notary Pu c-State of Florida)
Personally Known OR Produce fon Personally Known OR Pro ced
Type of Identification Produce YcGN 023 Type of Identification Produce �E� 9
M1g510N t 16.2020.1ets GOtAM\SS10N 18.2020 leis
Commission No. -�• �GpS;�twecem Commission No . • ptP1RExa�wtlnd?TM
o• :Qe � gigi�� d
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Revised 07/15/2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS