HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I ,,
Date: �� O' �� Permit Number:OIL c Lol
LZ RECEIVED
Building Permit Application OCT 18 210
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Electrical
PROPOSE WROVEMENT LOCATION <.
Address: 5551 Jamboree Dr.Fort Pierce FI.
Legal Description:
Property Tax ID#: 2A 1 U 60 - 00 1VIJQ Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
7 r f a
Pulled previous permit for Re-energize. Permit#SLC-1708-0617. Everything was good. FPL went to
energize and there was no wire from meter to transformer. But FPL tags and locks were still in place.
TO resolve will be pulling new wire from meter to pad mount transformer.
CO:NSTRUCTI:ON INFORMATION w
Additional work toe e orme under this permit—c ec a appy:
FHVAC Ei Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
R]Electric 0 Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: 1 Sq. Ft.of First Floor: 1
Cost of Construction:$ 1500 Utilities: Sewer 0 Septic Building Height: 1
OWNER%LE$S,EE t CONT RACTOR:.,
Name Celebration Point CDD Name: Joseph Godfrey Jr
Address:5385 N Nob Hill RD Company: Godfrey Electric Inc
City: Sunrise State:FL Address: 1222 Omar Rd
Zip Code: 33351 Fax: City: west Palm Beach State:FL
Phone No. Zip Code: 33405 Fax: 5618339391
E-Mail: Phone No. 5618333753
Fill in fee simple Title Holder on next page(if different E-Mail: lgodfreyjr@godfreyelectric.com
from the Owner listed above) State or County License: EC 13007992
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
�SU.PPLEIVIENTAL CONSTRUCTION LIEN LAW INFORMATION":' .
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Celebration Point CDD Name:Joseph Godfrey Jr
Address:5551 Jamboree Dr.Fort Pierce FI. Address: 5385 N Nob Hill RD
City: Sunrise State: City: West Palm Beach State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:1222 Omar Rd 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
commencin work or recording our Notice of Commencement.
4 C �/464P
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S ure of Owne 4LesseCo tractor as Agent for Owner ign ure of Conthiet6r/Lidensg Holder
STATE OF FLORIDpgnam' &a, COUNTY OFSTATE OF ORi' '►
COUNTY OF YYII c�
The for oing instr nt was acknowledge before me The forgoing instr s acknowledged before me
this day of 2011 by thishday of 20-0 by
Narde of persop making statement N e of person making statainent
Personally Known OR Produced Identification Personally Known �-- OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Aw jz'/z I ZZ�Ic-/�
( ignature of Notary Public-Stat#*M,)oridadARBARAD.MOLINE (S gnature of Notary Public-State of Florida)
r° , •,• Pue� BARBARA D.MOLINE
MY MMISSION b FF 087138 r 12 p * : '�
Commission No. * �.d� (S IRF,$:April 7,2018 Commission No.i',FV& 1l M * - (,5991)0,1MI8,Sl0N8FF08713
BondedThruDud Budget Services '• ' FXPIRF$:April7,2018
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17