HomeMy WebLinkAboutBuilding Permit Application FALLLAPPLI_CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
l FFEB
IVED
Building Permit Application 9 2.018Planning and Development ServicesBuilding and Code Regulation Division {sprPTlltting
2300 Virginia Avenue, Fort Pierce FL 34982 nty,
Phone: (772)462-1553 Fax: (772)462-1578 Commercial xxxxx Residential
PERMIT APPLICATION FOR: --
Electrical
PROPOSED,,!MPROVEMENT LOCATION:
Address: 2605 St Lucie Blvd J
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 DECLARATIONOF PROTECTIVE COVENANTS RECORDEDIN OR 378-2945-(OR 381-2005)
Property Tax ID#: 1428-702-0832-000-3
Site Plan Name: Lot No.----
Project Name: Block No.
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#3
CONSTRUCTION INFORMATION: - -
(tlona w o r Ft-0-be er Orme un er t 1s permit—c ea c a
Pp Y
0 �
HVAC Gas Tank ❑Gas Piping _Shutters —
Windows/Doors
Electric ❑Plumbing Sprinklers 0 Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 900.00 Utilities: —_ ❑Septic 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 FL
3108 SE Mall Terrace
State: Address:
Zip Code: 34946 Fax: Port St Lucie State:FL
City:
Phone No.
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
r
value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
-----
UPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
r�rNa
ESIGNER ENGINEER: —_�
/ ----
__ Not Applicable7Add
-- —
me: COMPANY: Not Applicable
Address:
iCity: State:Zip: Phone State:
1p:_________ Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
Name: Not Applicable
Address: I Name:-
--City: Address:_
City:
Zip:_ phone:
i 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 rrecordin ur Notice of Commencement.
Signature Qf O er/Lessee/Contractor
as Agent for Owner Signature of C ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA I
COUNTY OF—i—
OUNTY OFszrUCIr
N 0
The forgoing instrument was acknowledged before me.�,!'Tt' The forgoing instrument was acknowledged before me o
this 9 day Of February
20--_ by Zi A— this 9 day of February 20_ by 2
Name 7 41 person making statement a U a
Personal) Known xxxxx Name o person making statement _�c
Personally OR Produced Identification Personally Known xxxx OR Produced Identification
Type of Identification
Produced Type of Identification ,,,,
Produced A "6
(Signature of Notary Public-State of Florida)
(Signature of Notary Public-State of Floritla)
cqCommission No. v�(j,_7 (Seal) :�'
Commission No/ ' _ 9— L{S(/
_Z (Seal)
I _
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE — REVIEW REVIEW
RECEIVED —
DATE
COMPLETED
Rev.8/2/17 —