HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �� �• �a3�
Building Permit Application RECEIVED
Planning and Development Services FEB 0 9 2018
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ,Quty, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial xxxxx --
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION: i
Address: 2605 St Lucie Blvd
Legal Description: SAN LUCIE PLAZA S/D-UNIT ONE-BLK 43 LOTS 1,2, 3A, 5 AND 6 AND N 21 FT OF LOTS 7
AND 30 AND ALL LOT 31-LESS CASA CAPRONA DWELLING UNITS MPD AND SHOWN IN DECLARATIONOF PROTECTIVE COVENANTS RECORDEDIN OR 378-2945;OR 381-2005)
Property Tax ID#: 1428-702-0832-000-3 Lot No. _
Site Plan Name: - Block No. _
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacing 200 amp fues Disconnect with new square D 200 amp Main Cirucit Breaker
***Per Walt Pride 4 Permits needed one per quad/main disconnect.
Main Breaker#1
!-CONSTRUCTION INFORMATION: -
-ATdrtiona wor to e er orme un er t Is permit-c ec a apply: - - -
11HVAC Gas Tank '
ing U Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 900.00 Utilities: 0Sewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Casa Carprona Owners Assn.Inc- Name: Anthony Diodato
Address:2605 St Lucie Blvd Company: ALT Electric, Inc.
City: Fort Pierce State:FL Address: 3108 SE Mall Terrace
Zip Code: 34946 Fax: City: Port St Lucie State:FL
Phone No. Zip Code: 34984 Fax:
E-Mail: Phone No. 772-528-5056
Fill in fee simple Title Holder on next page( if differentE Mail: ALDIODATO@HOTMAIL.COM
from the Owner listed above) State or County License: EC13007369
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ------ __ _
---IN t ApplicableMORTGAGE COMPANY:
Name: _ Not Applicable
Address: - - Name:
City: Address:
State: City:
Zip: Phone State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
Name: _ Not Applicable
Address: Name:
City: Address:
�
Zip: Phone:
City:
— -- — 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.
unty
ottopiiHome that
niu ill authorize the permit t build
the jriwhch is nconflicwih any applicable Owers Association rules, or and covenants that may restrict oproh 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
Comm-encing work or recording our Notice of Commencement.
cl'
Signature o ner/Lessee Contra
/ ctor as Agent for Owner I Signature of C Tactor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF,,,--
The forgoing instrument was acknowledgedefore me The forgoing instrument was acknowledged efore me
this 9 day of February
ZC `-by this a day of February 20 by
Name of erson making statement
Personally Known xxxxx OR Produced Identification Person, XXXwn am fpXXXon making statement
Type of Identification y OR Produced Identification
Produced Type of Identification
Produced
gnature of Notary Public-State of Florida)
�^ {Signature of Notary Public-State of Florida)
Commission No. Fr q(j51}S� (Seal) Commission No.Vta2S
(Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Rev.8/2/17 --
lb�d� Nicole McMahon Nicole McMahon
fF945187
Commission l _ J ` = Commission # FF945187
ireS:November 19,2019
Bonded th
ru Aaron Notary %,,,,� ", n