HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_ a. 1� Permit Number:
�3LaRECEIVED 1
Building Permit Application FEB 0 9 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie CountY, P®rMittIng
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial xxxxx Residential
PERMIT APPLICATION FOR: Electrical ®-1
(,PROPOSED IMPROVEMENT LOCATtlJN: --
Address: 2605 St Lucie Blvd
Legal Description: SAN LUCIE PLAZA S/D-UNIT ONE-BLK 43 LOTS 1,2, 3,4,5 AND 6 AND N 21 FT OF LOTS 7
AND 30 AND ALL LOT 31-LESS CASA CAPRONA DWELLING UNITS MPD AND SHOWN IN DECLARATIONOE PROTECTIVE COVENANTS RECORDEDIN OR 378-2945(OR 381-2005)
Property Tax ID#: 1428-702-0832-000-3
Site Plan Name:
Block No.Lot 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#2
CONSTRUCTION INFORMATION: — -
-ATditiona wor to e et o mr e un er t is permit-c ec`k_aTF --a--T"-- -—
PP Y•
HVAC Gas Tank ❑Gas Piping _Shutters Windows Doors
rs
Electric ❑Plumbing Sprinklers 11 Generator 01 Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 900.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE: - - CONTRACTOR:
-- ---
NameCasa Carprona Owners Assn.Inc. Name: Anthony Diodato
Address:2605 St Lucie Blvd Company: ALT Electric, Inc.
City: Fort Pierce State: Address: 3108 SE Mall Terrace
Zip Cade: 34946 Fax: City: Port St Lucie FL
State:
Phone Zip Code: 34984 Fax:
E-Mail: Phone No. 772-528-5056
Fill in fee simple Title Holder on next page( if different E-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: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Name: —
Address: Address:
City: State: City:
Zip: Phone Zip: Phone: State:
FEE SIMPLE TITLE HOLDER: pplica
— Not Able BONDING COMPANY: Not Applicable
Name: Name: _
Address: 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 caner/Lessee/Contractor as Agent for Owner Signature of C n actor/License Ho er
STATE OF FLORIDA
COUNTY OFSTATE OF FLORIDA
y -E
COUNTY OF-
The forgoing instrument was acknowledged before me co the forgoing instrument was acknowledged before me
this 9 day of February 2//0_ by o � 2 his 9 day of February 20_ by _rn
Name person making statement MName of per n making statement "
Personally Kno n xxxxx OR Produced Identification o xxxx
ersonally Known OR Produced Identification
PYoduc pe of Identification i ype of Identification o i
E roduced
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(Signature of Notary Public-State of Florida) Signature of Notary Pub is State of Florida)
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Commission No.r —% � (Seal) """"�� �F`����� .' .
Commission No. (Seal) d'ayl
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE _
COMPLETED
Rev.8/2/17 -