HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11.22.16 Permit Number:
s•
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: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 7928 Saddlebrook Drive, port st lucie fl 34986
Legal Description:
Property Tax ID #: 2Z ' U U �cl ' U U U Lot No.
Site Plan Name:
Project Name: NAPOLITANO
Setbacks Front Back: Right Side
1 DETAILED DESCRIPTION OF WORK:
Left Side:
upgrade electrcial service for pool heater addition to equipment
CONSTRUCTION INFORMATION:
Additional worK to IDeQerTormed under this permit — c
nHVAC _ Gas Tank UGas Piping
Electric Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 100.00
OWNER/LESSEE:
Name
Address:
City: L T State:
Zip Code: C��� Fax:
Phone No. • `�� 2 ' "J2 (p
Block No.
thal,applY:
IuI
Shutters i„1 W indows/ Door s
Generator 1:1 Roof
Sq. Ft.
of First FFllo_�or: _
Utilities: 1 1 Sewer U Septic
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name:
DAVE VA
NzVVIETEN
Company: HIGH VOLTAGE
Address: 401 nw 22nd ave
City: boca raton State: fl
Zip Code: 33486 Fax:
Phone No. 954.309.7607
E -Mail: congo99@aol.com
State or County License: EC13002855
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Roof pitch
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
COUNTER
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
PLANS
REVIEW
Name:
Address:
City: State:
Zip: Phone:
Name:
Address:
City: State:
Zip: Phone:
MANG
REVIEW
OVE
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
Name:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
COMPLETE
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 structur
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit st
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 intendto tain financing, consult with lender r an attorney before
compie.ncine work or recording your No ' e of Commencement 5=1) i
Signaturfijof Owr*r
as Agent for Owner I Signature
STAYeOF FLORI STATE OF FZ
COUNTY OF �`VY1 N C'COUNTY OF
The forgoing instr ment was acknowled {�b�,efore me
this day of 1 201�1by
1
(Name of person acknowledging)
of tarn blic- Sta%of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
LACEY XAVIER O O )
Commis or�Y��% # FF 96
11 ,° °'- Commissw
i* MY Commission Expires
neon
er
The forgoing instrument was acknowledged before me
this day of , 20 by
(Name of person acknowledging)
(Si ature o Not Public- State of Florida
IS0)
Personally Known OR Produced Identification
Type of Identificati n ZProduced
;rte^Y XAVIER OI-
FF96
�,.. - ",emission Expires
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANG
REVIEW
OVE
DATE
COMPLETE
INITIALS