HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO
(MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �r �''/ / Permit Number: 06 D7
RECEIVED
•
Building Permit Application DEC 2 9 2016
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: 425 SE Naranja Ave
Legal Description:
Property Tax ID#: \ � r" !� C) Lot No.
Site Plan Name: Block No.
Project Name: (`� ,� �� K-
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing 150 Amp outside panel, riser, and head. Install ground rod and bridge.
CONSTRUCTION INFORMATION:
Additional work toe e orme under t —checkispermit a appy:
❑HVAC E]Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1900.00 Utilities:'n Sewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Andrew Maragh Name: RobertThompson
Address:118 SW Fairview Ave Company: R.Thompson Electric
City: Port St Lucie State:FIL Address: 439 SE Cork Rd
Zip Code: 34983 Fax: City: Port St Lucie State:FL
Phone No.347-543-8237 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-342-2064
Fill in fee simple Title Holder on next page(if different E-Mail: sparks9634@aol.com
from the Owner listed above) State or County License: EC13007306
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
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 thepermit 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
commenci rk or r9cording your Notic encement.
Ilk rt.• b. *�
ignature of.O�er/ ontractor as Agent for Wrier , Si atur Cori'fractor/ ' rise g `'
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STATE OF FLORID _ 2 $ STATE OF FLORIDA /I a X{a
COUNTY OF K min� COUNTY OF T Mo o
UN
mThe f ping instr, ent was acknowledged befor The forgoing instru ent was acknowledged before m .9 0 W
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thi day of 20 bythis'day of 20 L"by -n
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(Name of person acknowledging) V (Name of person acknowledging)
OJA P i fl, aZ2"A1XA-
(Signature of Notary ublic-State of Florida) (Signature of Notary lic-State o Florida)
Personally Known � OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS