HomeMy WebLinkAboutBuilding Permit Application Jun. 13, 2018 3 05P No..1085 P. `1/3 i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION.TO BE ACCEPTED
Date: Permit Number:
- ECEIVED
T Building Permit ApplicationL_R
UN 1 3 2018
Planning and Development Services
Rullding and Code Regulation Division ie County, Permitting
2,300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Electrical .
0 1
Address: 8823 Gobblesione Dr,Ft,Pierce,34945
Legal Description:
Property Tax ID :2928-600-0084-0999 Lot No.
Site Plan Name: Block No.
Protect Name: Creekelde Fountain
Setbacks Front Back: Right Side; Left Side: i
Reroute and lengthen the underground electrical to the southeast lake fountain due to original ren thru j
a lot that a home was being built on.Trench 270`from the transformer to the meter, using 4/0-410-210
triplex cable in 2"pvc pipe.The existing meter is feeding an existing 8OA subpanel.
izz
Additi
�--(ona worko e r Orme un er s perm —c eta appy:
IJHVAC Gas Tank E]Gas piping _Shutters ❑Windows/Doors
Electric Plumbing1sprinklers 11 Ganerator Roof Roof pitch
Total Sq.Ft of Constructlon:_. S .Ft.of First Floor:
Cost of Construction:$ 1600.00 utilitles. SewerSeptic Building Height;
NalTIeCR Horton 7Ap
sllna Slate '
Address:4430 Culver pr NF Peay's Elealrle II,Inc.
City; Palm say _ 5tate:FL ; 790 Industrial Rd.
Zip Code; 32507 Fax; City: west Melbourne State:FL
Phone No.321.7334972 Zip Code: 32804
Fax.- 3241-726.6273
E-Mail:rcadams@drhorton.com Phone No. 921-768-0814
Fill in fee simple Title Holder on next page(If different E-Mall:'.chdslina@brovardefectflelans.com
from the Owner listed above) State or County License:F-R13014655
if value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required,
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Jin. 13. 2018 3 05P No. 1085 P. 2/3 ;
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DESIGNER/ENGiNE:ER Not Applicable MORTGAGE COMPANY: Not Applicable ill
Name; _ Name: i
Address: Address; I
City: State City: State_
Zip: phone Zip .Phone: 1
FEE SIMPLE TiTLE HOLDER: _Not Applicable BONDING COMPANY: —Not Applicable.
Name, Name: _
Address: Address:
City: City:
Zip: Phone: zip: Phone;
OWNS R/CONTRACTOR AFFIDVIT:Application Is hereby made to obtain a permit to do the work and Installation as indicated. 1
1 certify that no work or installation has commenced prior to the issuance of a permit.
St l gcie County makes no repre e1lt tion that is granting a permit will authorae the permit holder to build the subject sccrr��cture
w�rlch Is In conflict with any appl�cal��e Home Owners Association rules,bylaws Qr and covenants that may restrict or prohibit such
structure,please consult wylth your Home Owners Association and review your deed for any restrictions which may apply,
Inconsideration 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 f
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result ih your paying twice for
Improvements to your property.A Notice of Commencement must he recorded*and posted on the jobsite
before the first Insp dre rffLWLi Intend to obtain financing,consult with lender or an attorney before I
rommencin wo car ' o -Notice of Commencement.
Slgnature of Owner/Lessee/contractor as Agen r wner Signature of Contractor/Llcense�H/older
STATE 01=FLORIDA STATE OF FLORIDA pp
COUNTY OF �r@ JC't ir� COUNTY OF 6w"tVt'✓�fJl
The for oing instrument was acknowiedgecf,before me The Far oIng instrument was acknowledged before fie
this,,,(�day of TU NL. _,70*�f by this,�day of -Ti A A -+ p,20_L�/by
IJ[l n e l L►
Name of pe
making statement Name of person aklrlg statement
Personally Known V OR Produced Identification Personally Known OR Produced Identification.
Type of identification Type of Identification
Produced Produced
(Signature of Notary Pub i State of Florida) Si ature o Notary Public to of Florida)
Commission No. all1 SO NIArouISEPmREftI o mission ;`� YR '
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REVIEWS FRONT R 1SOR PLANS\ V 7A7-uR= rc OVE
COUNTER REVIEW REVIM REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE -
COMPLETED
Rev.8/2/17