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HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date. Permit Number: J roman 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 IJ PROPOSED IMPROVEMENT LOCATION: Address: 3801 Avenue Legal Description: PLAT 2-SUNLAND Gardens blk 33 lot 4 and wyl 112 of 5(0.28 ac)(or 1103-77) Property Tax ID#: 2405-703-0004-000-5 Lot No. Site Plan Name: Block No. Project Name: Young Res, Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Pulled wires to weatherhead and meter 210 agw and #4 solid ground, 2 ground roda and bridge CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit—check a apply: aHVAC Gas Tank Gas Piping _Shutters Windows/Doors RElectric ❑ Plumbing Sprinklers Generator L=( Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor:. Cost of Construction: $ 1475.13 Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Debra Young Name: George Hand Address:3801 Avenue K Company: My Electrician, Inc City: fort pierce State:FL Address: 750 NW Enterprise Drive Zip Code: 34950 Fax: City: State:FL Phone No,772-332-3508 Zip Code: 34986 Fax: E-Mail:BRUNSOND@STLUCIECLERK.COM Phone No. 772-878-3974 Fill in fee simple Title Holder on next page( if different E-Mail: Ldiodato@mirandacompanies.com from the Owner listed above) State or County License: EC13003398 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address:750 NW Enterprise Drive Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF$TLMI COUNTY OFSTL�.I. The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this of SEPT 20� by this �a day© EPT 1 20 by f_ vo etm'�L Name of person making statemen Name of person making statement Personally Known xxxx OR Produced Identification Personally Known xxxx OR Produced Identification Type of Identification Type of Identification Produced Produced ' E (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Commission No. "" L���Iod1t0 Commission No. ``���.'F s ( Qiodgo .� r Commission#GG069258 r � Commission I GG069258 _�` ices Feb. 9, 2021 Expires: Feb. 9, 2021 tbru Wonh6ar� �•., ;,•�� ru n Notary REVIEWS FROM""""" ZONING SUPERVISOR PLANS VEGETATION 'SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 1 o Cupf 1RANP upCjfz, PC ELECTRICIAL RISER P AN 7--4q"14 I NOT TO SCALE D Underground Overhead �G 1. Size Service: 15 ) Cp ' 2, Conductor Size: 3.a. Meter Main: b. Meter Can Only: ye' Grounding Electrode Conductor Size ❑ #6 #4 5"-, f t� ❑ #2 Other V I V J CONSTRUCTION TYPE: Ca Cormnercial Residential O Mobile Home U New Installation Old Installation .a