HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 V ® 'L0
Date: Permit Number: t
RECEIVED
Building Permit Application JAN 1 3 2031
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
P'R®POSED MPROUEM S1 LOCATION:
Address: 5513 PINETREE DR FT. PIERCE, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT 1-BLK7 LOTS 41 AND 42 (MAP 34/11 N) (OR 3787-666)
Property Tax ID#: 3402-602-0258-000-4 Lot No.41 +42
Site Plan Name: Block No. 7
Project Name: "JOYCE RESIDENCE"
Setbacks Front Back: Right Side: Left Side:
WTINLED DE�SC««RIFT!() OF WORK:
TEMPORARY POWER SERVICE FOR CONSTRUCTION OF SINGLE FAMILY RESIDENCE UNDER
PERMIT#SLC-1609-0466
DONAMA ANTI 1119, INFORMATION:
itiona I work to T
e orme un er t is permit-check a appy:
HVAC Gas Tank Gas Piping _Shut-ers Windows Doors
— ❑ p g ❑Windows/
Doors
❑ Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ UtilitieslnSewer Septic Building Height:
OWNER/LES-SEE: CONTRACTOR: �/;;I�
Name— CL $ dwow& i�uca W- Name: C;i4OL 6W Cu C(;c� LAY 1
Addrepeol-4
3')Jrq S- cd• o-f Axj S,•I Company: �
City: s� - Lu L.�s_ State: Address: 05- � _'� -W. CL
Zip Code: 31 q 53 Fax:-7-72-x'7/- q'7 q-.3 City: 1�1 S-1-. Lt.;-Lij,0 State: G1
Phone No.`` `77a- _tl l �• .5-c�'I,5 Zip Code: ,� �S3 Fax:::V 2-- 97/-1 7-/3
E-Mail: c1U t-I t~e- -,v)(.03 p�i. m, Phone No. ?,z - zi l -S d '�jr
Fill in fee simple Title Holder on next page(if different E-Mail: f-Lit3 0U In el
from the Owner listed above) State or County License: CGC-- 5 b Ct C) to
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
S`UPPLEMENTA CANS RUCT[ON L[E LAW INFO`RMAT[ON;
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: x 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.
r ry
s
Signature of Own er/Lesse ractor as Agent for Owner Signature of Contractor/Lic Wder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF /, Zc� C COUNTY OF' �� LL��
The forgoing instrument was acknowledged efore me The forgoing instrument�was saacknowledged before me
this day of �•j 'y 20by this day of � 'yrlp"� 20 by
(Name of per cknowI dgi (Name of perso nowl ing)
i
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
i
ersonall OR Produced Identification ersonally Known OR Produced Identification
Type of Identification Produc n i ication Pro ri
STEVEN G.WILSON .••" STEVEN G.WILSON
4�.R Ue��4 .A,vk pt'g'
Commission No. :� go ry Public-State of Flo lop mission No. ,�:°, ibi No1(��ebplic-State of Florida
••; ommisslon FF 2153 0 5•. ,•; Commission#f FF 215350
My Comm.Expires Mar 30, 019 "r,� o;� My Comm.Expires Mar 30,2019
'••,������• through ary sn. •,,,����a• BaxlblfrouphNatlonalNotaryAm.
Revised 07/15/2014 &
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS