HomeMy WebLinkAboutELECTRIC - COMMERCIAL All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1-
Date: Permit Number:
Budding Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)4624553 Fax:(772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Electrical 0
1
PROPOSE D'IMPRO WNt-1;C -. � ' `�'_
Address: AQ�n d LA ftp C I K' -,�.-3 6 � 1�
s
Legal Description: Oa [TV cLC+ AI3 1 - 9)00 00ox-coo-
%Property Tax ID#: W A Lot No. N A
Site Pian Name: Oakland Lake Estates Planned Unit Development Block No._JA
Project Name:Oakland Lake Estates
Setbacks Front X Back: X Right Side: X Left Side: X
DETAILED DESCRR7lUN dFw1N+r3R
Sign light.TO be fed from existing service.
CONSTRUCTION IN�s�Rri+IATldINY'�
ittona wor o. a e' or,me un,er is.perm -c ec a appy: N!
[JHVAC Gas Tank E]Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction, Sq.Ft.of First Floor:
Cost of Construction:$" Utilities: Sewer❑Septic Building Height:
OWNERAWEE:
Name. Ilut3cOeSkUYS Name: �' Cre.�-�.`'C�QV'- Q.-,
Address: 013ViQ scro-O(A 100 Company:Steve Thompson Electrical,Inc.
City: Uit 00 i- n 0 state:Fl Address: t3l�t.�'�dr•.r•,�rcre.t.rtT
Zip Code: 3 7-6 0 f Fax: City: "S%AP% A-4p-tr- State:FL
Phone No. (401) (-0 l 15 —QfJ_17 rip Code: 33458 Fax: 561-575-2054
E-Mail: Phone No. 561-575-3434-Cell#561-719.6396
Fill in fee simple Title Holder on next page(if different E-Mail: stelectricai@comeast.net
from the Owner listed above) State or County License: EC13002251
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CC}NSTRA U
bJ
DESIGNER/ENGINEER: ,Not Applicable, MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ ;Not Applicable BONDING COMPANY: XNot Applicable
Name: ' t Name:
Address 6i i O Address.
City .t O .0 8 City:
Zip: I Phone: (L191 -ft7'7- 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.Lude Countyy makes no representation that is granting a permit will authorize the ermit 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 yourdeed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that t 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 aoattorney before
commencin .work or recording our Notice of Commencement.
Si ature of Owner/Lessee/Contractor as Agent for Owner Signa Tactor/License Holder
STATE OF FLEA C"10 STATE OF FLORIDA
COUNTY OF. %�ovi� nm es-! _ _ COUNTY OF ��.\�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ' day of (��. b12 2DL by this`` qday of d��a� - 20 by
Name of person making statement Name of person making statement
Personally Known X OR Produced Identification Personally Known�—OR Produced Identification
Type of Identification Type of Identification
Produced Produced
_- r i' blic-State of Worlds `15ignature of Notary Public-State4ofFloreidaej)
�Ri L WELROY No *ftbllc
_* (nand for the State of ONSeal} Commission No. TT~
My Commission Expires Nov 2,2021 �•tP �Bi��. LINDA A KLEYWEGT
Notary Public-State of Florida
7 11T. 4 t
`� Commission#FF 4
FRONT ZONING SUPERVISOR PLANS VEGE Af' r�����5' � �,° 1ft& Ah N i
COUNTER REVIEW REVIEW REVIEW RE
DATE
RECEIVED
DATE
COMPLETED
Rev.$/2/1?