HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Nov_ 16, 2016 Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
I PERMIT APPLICATION FOR: Electrical El
I PROPOSED IMPROVEMENT LOCATION: I
Address: 3318 Orange Avenue, Lot -4b
Legal Description. 6 35 49 PART OF SE 114 OF NW 114MPDAF* FROM TNT W L] ANGLE RD AND NL1 OF ORANGE AV_ A5 SHOWN IN PL RIC 7-12,
RUN W ON N t, OfYlNGE Av5[T.Fa FT FO(t W tl. TN N 1T:1.64 Ff. TN W 33 fT. Tl{ 523.T1 F f. Tn EH1 fT. TN 5 SAT.91 F I. TN EM FT TO P09-f.E5559 €T p5 fN ONO TAi(WG CAOd14l35 (p9T ACI ION f3�Y-¢316)
Property Tax ID #: 2406"243-0003-000-6
Site Plan Name: Seminole Mobil Park Llc
Project Name: Seminole Mobil Park Llc
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Upgrade 6 gang service rack, meter can SE disconnects.
For lots: 46, 47, 48, 56, 57, 58
Lot No. 46
Block No.
CONSTRUCTION INFORMATION:
Add itional wor toeeorme under this permit— check all apply:
HVAC E]
Gas Tank E]Gas piping In Shutters Windows/Boors
11 Electric D Plumbing 0 Sprinklers ® Generator E] Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2465.00
S Ft- of First Floor:
Utilities: Elseptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Namecto Riverstone Communities
Name: Jeffrey R. Waite
Address:300 E. Maple Road, Suite 200
Company- Infinity Electric Go., Inc.
City: Birmingham State:Ml
Zip Code: 48009 Fax:
Phone No,
Address: 630 Tall Pines Rd
City: Haverhill State: EL
Zip Code: 03415 Fax: 561-588-3805
Phone No. 561-662-9299
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the fawner listed above)
E -Mail- intinityelectric@bellsouth.net
State or County License: EC13005456
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 vour Notice of Commencement.
Signat r f O ner/Le see/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY CIF ,a rw, P,.�t otr/tt
The forgoing instrument was acknowledged before me
this .i -) day of [�'VO'4 , 20 1 �— by
(��' ' 77�s
51glatfire of ontractor/License Holder
STATE OF FLORIDA
COUNTY OF P -MBFAcH
The forgoing instrument was acknowledged before me
this i L, day of t10\1 20 1 L- by
(Name of person ac cnowledging ) (Name of person cknowledging )
{Signature of Notary Public- State of Florida } f (signature of Notary Public- State of Florida )
Personally Known OR Produced Identification 'r
Type of Identification Produced 'IL
;,.13c:0 - --'ao-- b3 ca a qC3 t�v- ^"4--I1-
Commission No.
Revised 07/15/2014
,)rrn!sicn a GG 044816
My Comm Expires Nov 3. 2020
Personally Known _
Type of Identification
�t-
Commislsion No.
4CA 0 4
OR Produced Identification
Nllitll ho • so et f**
Mit CMee. 1*W Mer 3. =
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