HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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 Commercial Residential x
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 79 S LAS OLAS DR
Legal Description: BEACH CLUB COLONY -SECTION ONE- E46.515 FT OF LOT 24 (OR 3900-1947)
Property Tax ID #: 4511-500-0049-000-1
Site Plan Name: MCGEE
Project Name: Las Olas DR
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Upgrade existing service to 200 AMPS
Run new service entrance cable for new sub panel
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be Dertormed under this permit —check all apply:
HVAC Gas Tank I]Gas Piping _ Shutters Q Windows/Doors
❑✓ Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 864
Cost of Construction: $ 1700
S Ft. of First Floor: _
Utilities:Sewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Gary McGee
Name: Donald B Green
Address: 79 S Las Olas DR
Company: Don Green Electric
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.
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 regwreo.
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:
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 your Notice of Commencement.
\I J, 1 8
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF COUNTY OF FLORIDAtn � �.\ 1 COUNTY OF STATE OF FLORIDA U N
The f oing instrument was acknowledged before me The for oing instrument was acknowledged before me
this' day of �� 20 Lby this day ofG 20 by
� .��� �� C_-, ►��-�� � =�t, �,L>; � ' �i� �-��-. ice►
(Nam of p n acknowledging) (Nam � f p rs Wdg,,ng
�p iiii�
(Signatu . of o ry Public- State of Florida (Signatu a of Not ry Public- State of Florida )
Personally Known OR Produced Identification Personally Know OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. �� J$6111"ISTINECOPELAND Commission No.
"e6� MY COMMISSION #FF948042 �, JeO� HRISTINE COPELAND
o.,... otr*.._��
? MY COMMISSION #FF948042
PIRES: JAN 05, 2020
a EXPIRESmdANAG; PAPA
Bonded through iat State insurd,10,r
Bonded through 1st State Insurance
Revised 07/15/2014
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