HomeMy WebLinkAboutBuilding Permit Application 0411812018 12:40 Dolphin Electric TAR)7728738733 P.0011002
0411 X12018 13:52 Dolphin Electrlc fa77287W33 P.0011002
ALL APSUCAaLlt INFOULIST BE COMPLETED FOR APPUCATION TO B$ACCEPTED /�� �; ,
Pete: 'Perrn'lt Number:
Building Permit Applicatlon
Planning and Developmentservlees
Building dnd Coda Regulation Division
8800 Virginia Awnue,Fort Plerrr PL 34982
Phone,(772)462-1553 Pax;(772)462-1578 Commerclal Residential
PERMIT APPLICATION FOR: ElatrlaalEl
PROPOSED IMPROVEMENT LOCATION-,
Address: '
Legal Description: '
Property Tax ID#r Zda8,3a7.00040pQ"8 Lot No
Slti Plan Name: Block No,
Projoct Name;
5Ftbacks Oont_ Beck,, Right Side: Left Sida;
DETAILED 0ESCRIPTION OF WORK: ' I R EC..
Put In 200Amp 3 Phase 460V Servide. ,
APR 1-8 2018
Permitting
CONSTRUCTION INFORMATION: L St. Lucie Qu
Mia —one wor a u app r
HVAC Gas Tank Gas Piping Shutters . Windows/Doors
Electrlc Plumbing ESprinklers L Generator ERoof Roof pltah
Patel Sq.Ft of Construction; S .Ft of First Floor;
Cost of construction:$ Uttlitiestsewer�septic Building Height:
OWNERAESSEE: CONTRACTOR;
Name ' Name ,, G1f
Address: Comp grly: $t�veIs leotrlc of South Florida,Inc,
Clty: statelFL 'Addrea ! 1 „ am
-lrpacw 110&
Zip Code:94481_ Fax; Clty: �11,Y'4,Q� State, 4-
Phone No,772.404-5e22 Zip Code: 34e43 F#x:?7a-878.8793
�•Mail;bedwlld®att,nrt Phone No.779873-8730
Pill In fee simple Title Molder-on merit page I If different E-Malls ste' e1eotrlo48®yehao.00m
from the owner listed above) State or County License: BC1S00656D
If value of eanktruattan is$2500 or Mort,a ARCORD10 Notice of CoWmenogn+ent Is required.
0411812018 12:40 Dolphin Electric TAX)7728738733 P.0021002
14/17/2018 13:52 Dolphin Electric TAa07M7W33 P.002/002
SUPPLEMENTAL CQNSTRUCTION MEN LAW 1NIWORMATION:
DES; R NGINEHRI Not App ice a 'MORTGAGE COMPANY: _Not Applicabli
Name; Name.,_ —
Address Address; ---
City: state; City; state;
Zip; Pham Zip; 'Phone;
,FEE SIMPLE TITLE MOLDER; _Not Applicable BONDING COMPANYr, _Not Appllceble
' Name; Name: •
Address: Address,
City: City;
Zip;
OWNER/CONTRACTOR AFFIDVITt Application is hereby made to obtain a permit to do the work and installation as indicated.
I�cer{�t(f(y that no work
wo{r�k@aor installation has cammencad prlgrta the isysmonce�of a permit.' �� r p su J �rucC
W11�CI1Cf�1CrlQ�nillCtwlt►101�tyep�11C>iI�JYI�Omea�iWii6riAfOia�ItiCllrlil-8�III pbyla 9Qrll� coven�nSlhttlAAyliriCtbO�pr�hlateEUCh
structure. 10
ease cansult t your ome.Owners mae et on And r �w your sees rany restr ct�ons whit may appy,
,Inconsideration of thdgranting of this requested permit,I do hereby agree-that I will,In all respects,perform the work
In Mceordanca with tht approves plans,the Plorlds'9ullding Codas and 8r.Lucie County Amendments,
The following building permit appllcatlons are exemptfrom undergoing a full concurrency review;room additions,
ACcessory structures,swimming pools,fences,walla,slgna,screen rooms and accessory uses to another non•ras)dentlal use
WARNING TO OWNER:Your failure to Record a Notice of Commencamant may result in your paying twice for
Improvements m your,property.A Notice of Commencement must be recorded and posted on the lobsite
before the first inspection.if you Intend to obtain financing,consult with fender or an attorney before
c mme work or recording our Notice of Commancerderit. 1P 1%
a
Sig re of Owner es4ee/Contractor as Aldrit for Owner 51gnature of ort ctor/Lleense Holder
5TAU OF FLORIDA STATE OF FLORIDA
COUNTY OF �` COUNTY OF .L.L. P
The f r ng Inst ulnent wos acknowledg before me -The forgoing instr ment was ocknowledg before me
this 29y of : by this dey of 2011 by
' I k � r�bhtr� ''AQ-VVAA
Name of parse making statement Ngma 0 pars eking staitaniant
Personally Known OR Produced.ldentifleatlon Personally Known se OR Produced identlflaetion
Type of identlfleptlon —�'. Type of Identifieatioh
Produced Produced
nature of to dlieobtatwrfi+Plo�l (5lgnature of Not r P tst
Notary Public 8 a Randa Am L.Alexandar
Commission No, L, der Commisslan No. Myemml� 1ti073e
Vy nmmlaelon 00144729 R•t
' Expirn 10104/2021
REVIEWS FRONT ZONING SUPERVISOR, PLANS VEGETATION SEA TURTLE MANGROVE '
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATH
RECEIVED
DATE
COMPLETED
Rev.8/2/17