HomeMy WebLinkAboutBuilding Permit Application Aug 0817,01:35p Aultbros 7722830321 p.1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date- Permit Number: ` I�
Building Permit Application AUG / 8 2017
Planning and Development Services
euliding and Code Regulation Division
2300 Virginia Avenue,Fart Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Electrical El
,;PROPOSED IMPROVEMENT LOCATION:
Address: 1630 NW Buttonbush Circle,Palm City,FL 34990
Legal Description: Harbour Ridge-Plat 19-Tallowood Village Lot 15(OR 925-332;2218-653;3493-2422)
Property Tax ID#: 4426-840-0016-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DET 'ED DESCRIPTION:.OF WORK:
Remove existing and replace with new electrical distribution panel; remove and replace service lateral
CONSTRUCTION INFORMATION:
itiona wore to e e orme under tispermit—checka appy:
0HVAC f.Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
aElectric EJ Plumbing Sprinklers O Generator Roof Roof pitch
Total Sq.Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 1,800.00 utilities: 0Sewer 0Septic Building Height:
:OWNER/LESSEE: CONTRACTOR:
NameSusle M.Pawluc Name: Michael Dale Ault
Address:1630 NW Buttonbush Cir Company Ault Bros, Inc.Electrical Contractor
City; Palm City State:FL Address: PO Box 1528
Zip Code:34990 Fax: City: Port Salemo State:FL
Phone No. Zip Code: 34992 Fax: 772-283-0321
E-Mail: Phone No. 772-283-5520
Fill in fee simple Title Holder on next page(if different E-Mail: auitbros@yahoo.com
from the Owner listed above) State or County License: EC001693
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required. Cjj /i•
Aug 08 17,01:35p Aultbros 7722830321 p.2
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 TrrLE 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 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 exemptfrom undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory usesto another non-residential use
III 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.
1 '�
� 1 n' , ti771gJI r
s
Signature of Owner/Lessee) ontractor as Agent for Owner Signature of Contractor License HoIcTer
STATE OF FLORIDAff'' STATE OF FLORIDA
COUNTYOF IVQ.y1-VI COUNTYOF MA(ZV-,;,
The forgoing instrurAent was acknowledged before me The forgoing instrument was acknowledged before me
this--I-day of LXAJA UJ r 20 [2_.by this__? day of i.,;5'7 20 I -7 by
(Y1 i[,6+a.a1 l�a.ae e If
1 I"`i C IIJ�-e-A bA-(t A712
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Flora) (Signature f Notary Public-State of Florida)
Personally Known OR P duci i t OA "t -personally Known OR Produced Identification
Type of Identification Prod `e ` i.Ut'`' aJype
of Identification Produced flu:+ `amldly 1.FF 14,5ka rBATTMICHALO�:'SKI
Commission No. !`��3 - i! (Sm.exPAug mmission Na.�i �y7 S 3 ` °6m ( ���pubtic,State otFla�da
}+ 9 $ rtL Commission#FF 147530
_,,.. mm.expires Aug.4.201
11
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Aug 0817,01:35p Aultbros 7722830321 p.3
ELECTRICAL RISER DIAGRAM
NOT TO SCALE
*IJse for Tempolrary Construction Power Pole and Single Family Service Change Only.
For any other electrical applications apply Florida Building Code 107.3.5 Electrical
1. Wiring;Services;Feeders&Branch Circuits;Over Current Protection;Grounding;Wiring Methods&Materials;GFCI
2. Equipment
3. Special Occupancies
4. Emergency Systems
5. Communication Systems
6. Low Voltage
7. Load Calculations
8. Design Flood ELevation
Underground
Overhead
1.Size Service: 200 am
2.Conductor Size: ® CU ❑ ALUM
3.a.Meter Main:
b.Meter Can Only: 0
M
Grounding Electrode Conductor Size
❑ #6
® 44
❑ #2
❑ Other CONSTRUCTION TYPE:
® Residential
El Mobile Home
Dual Electrodes or Test Required
❑ New Installation
❑ Old Installation
T:1b1d1b1dg_fomaslNcw ApplicationsTormsTicctrical Riser Plamdoc Rev.5129112