HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
io
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: 1101 Kingswood Ln. Fort Pierce, FL 34982
Legal Description: DRIFTWOOD MANOR -SECTION TW - LOT 9
Property Tax ID #: 3404-807-0009-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Bartow Residence
Setbacks Front Back: Right Side: Left Side:
�TAIU�DDES�CRIPT�10NOF WORK:
Electrical service change - upgrade 150amp to 300amp
CONSTRUCTION INFORMATION:
Additional work toe ner orme under this permit — check a apply:
j
HVAC u Gas Tank Gas Piping_ Shutters Windows/Doors
P1Electric ElPlumbing 0— Sprinklers In Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 2,400 Utilities:n Sewer ElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ronald Bartoe
Name: Charles Hoppmann
Address: 1101 Kingswood Ln
Company: Bellwether Electric Company
City: Fort Pierce State:FL
Address: 571 NW Mercantile PL #103
City: Port St. Lucie State: FI
Zip Code: 34982 Fax:
Phone No.
Zip Code: 34986 Fax: (772) 621-9164
E -Mail:
Phone No. (772) 621-9494
Fill in fee simple Title Holder on next page ( if different
E -Mail: bellwether.electric@gmail.com
State or County License: EC13004122
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applica
Name: _
Address:
City: State
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone: _
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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
b o e the first inspection. If you intend to obtain financing, consult with lender or an attorney before
VomrUncing work or recording your Notice of Commencement,,,A
Signature of Own er/Lissee/Con tractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST l�lE COUNTY OF ST• (.u-Ct&_
The for cling instrument was acknowledged before me
this t_9 day of 901- rON , 20 1'l by
Charles Hoppmann
(Name of perso acknowledging )
(Signature of No a Publi - State of Florida )
Personally Known 7OR Produced Identification
Type of Identificatio r,
Commission No. I
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this day of .20 V-7 by
Charles Hoppmann
(Name of person acknowledging )
-� 1,
J __
(Signature of Notaryblc- State of Florida )
Personally Known V_/OR Produced Identification
Type of Identification Plods_ced
..v�n�cer��,L '��"••��'• DAVID
MY COM Commission No.4RKIEWICZ
(1EtS$)ON # FF998909 MY COMMISSION # FF998909
EXPIRES June 05, 2020 +q. EXPIRES.hir,o nr w~
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INITIALS
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