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 XXXXX
PERMIT APPLICATION FOR: Electrical
-1 PROPOSED IMPROVEMENT LOCATION:
Address: 1406 N 37th ST
Legal Description: SUNLAND GARDENS BLK 27 LOT 12 AND N 10.2 FT OF LOT 13 (0.15 AC) (OR 3909-923)
Property Tax ID #. 2405-601-0499-000-8 Lot No. 12
Site Plan Name: 37th Street Block No. 27
Project Name: 37th Street
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
After re -energizing - the panel needs to be changed out. Like for like 150 AMP service
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit — check all a apply:
HVAC L_I Gas Tank Gas Piping _ Shutters a Windows/Doors
RIElectric ❑ Plumbing Sprinklers Generator 1:1 Roof L� Roof pitch
Total Sq. Ft of Construction: 1425
S.
Ft. of First Floor:
Cost of Construction: $ 1500.00 Utilities:cnSewer
Septic Building Height:
OWNER/LESSEE:
I CONTRACTOR:
Name R and D Management and Investments Inc
Name: Donald B Green
Address: 10380 SW Village Center DR # 333
Company: DON GREEN ELECTRIC
City: Port St Lucie State: FL
Address: 1305 W 1st Street `
Zip Code: 34987 Fax:
City: Fort Pierce State: FL
Phone No.
Zip Code: 34982 Fax:
E -Mail:
Phone No. 772-418-5739
Fill in fee simple Title Holder on next page ( if different
E -Mail: dongreenelectric@gmail.com
from the Owner listed above)
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 MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State:
X Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
X Not Applicable
State:
x Not Applicable
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 recordin your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder``'
STATE OF FLORIDA
COUNTY OF Martin
The forgoing instrument yvas acknowledged before me
this 124" day of a-& Nc , 20 i3—by
Donald B Green
Type of I
Commission No
Alhj
Florida )
Nn xx OR Produced Identification
cation Produced
tyj t� )
Revised 07/15/2014
JOY CHRISTINE COPELAND
MY COMMISSION #FF948042
I a EXPIRES: JAN 05, 2020
'zad Bonded through 1 st State Insurance
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
STATE OF FLORIDA
COUNTY OF Mar6n
The forgoing instrument was acknowledged before me
this 12th day of June , 20 1 "7 by
Donald B Green
Personally Known xx OR Produced Identification
Type of Identification Produced
Commission No. F 1 If (Seal)
SUPERVISOR PLANS
REVIEW REVIEW
JOY CHRIS41NE COPELAND
l�Y.�Va
_°' "v COMMISSION #Fr948042
,€ EXPIRES: JAN 05, 2020
* OL V Bonded through 1 st State Insurance
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW