HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
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
PERMIT APPLICATION FOR: Electrical
Commercial Residential
PROPOSED IMPROVEMENT LOCATION:
Address: 495 SE Airoso Blvd Port St Lucie FI CrPL- 1. , j Cj —rktS kDcQrr� X
Legal Description: RIVER PARK -UNIT 6- BLK 57 LOT 7 (MAP 34128S) (OR 3930-1481)
Property Tax ID #: 3419-545-0025-000-0
Site Plan Name:
Project Name: Warens
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
House has been vacant FPL requiring inspection in order to turn power back on
15 0,-c
Lot No. 7
Block No. 57
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit —check a appy:
HVAC 11 Gas Tank 0Gas Piping _ Shutters ❑ Windows/Doors
ZElectric ❑ Plumbing ❑ Sprinklers ❑ Generator Roof Roof pitch
Total Sq. Ft of Construction: 1002 S Ft. of First Floor:
Cost of Construction: $ 250 Utilities: Sewer O Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Warens Investment Holdings LLC
Name: Donald B Green
Address: 5711 NW 117th ST
Company: Don Green Electric
City: Hialeah, State: FIL
Zip Code: 33012 Fax:
Phone No. 772485-1430
Address: 1305 W 1st Street
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-418-5739
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: dongreenelectric@gmail.com
State or County License: EC13007447
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
Name:
Address:
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 1 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
beforeA�he first inspection. If you intend to obtain financing, consult with lender or an attorney before
commericiniz work or recording; vour Notice of Commencement,-\
Signliffre of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA INI
COUNTY OF
The fo ing instrument was acknowledg jjd before me
this day of 201kby
(Sikrjatur6f Notary–Fublic- State of Florida )
v
Pe pally Known —� OR Produced Identification
Type of Identificati nS Produce F
Commission No.
Revised 07/15/2014
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Hhfi
_ I
The f rg_oing ink ent was acknowledged before me
this day of - C_ 20 by
(Na
wlec)ging )
(SignakulfeOf 1oYa y Public- State of Floridt )
Personally Knower " OR Produced
Type of Identification Producj—eT,
YC MISSION#FF948042 I Commission No.
RES: JAN 05, 2020
Bonded through 1 st State Insurance
MY COMMISSION #FF948042
EAROJAN 05, 2020
Bonded through 1st State Insurance
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