HomeMy WebLinkAboutBuilding Permit Application ALL-APPLICABLE-INFO MUST BE COMPLETED'-FOR APPLICATION TO BE ACCEPTED
Date;. -�1 Permit Number:
Building Permit Application AUG 01 2018
Planning and Development Services
Building and Code:Regulation Division ST. Lucie County, Permitting
23o0 Virginia Avenue,Fort Pierce FL 34.982
Phone:(772),462-1553 Fax:(772)4.62-1578, Commercial. xxx Residential
RERNIITAPPLICATION FOR:: Electrical
ry l
P`ROP�OSED fIVIPF01/EMENT LOCATION � j " � '
Address.: '9481•Brandywin'e Lane; Port St Lucie, FI'34986'
Legal Description, Parcel#3327=803-0004-000-6
Property TO ID#:, Lot No.
Site Plan Name:, Block No.
Proiect Name::St•Lucie County School Board Admin Building!
Setbacks Font' Back: Right Side: Left Side:
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fDt=T 11LED DESCRIF{ ION3QFxWORK
7 .tee, t„a :t�, s •-tea..„_vf �,r-..s.x .r y_>f. r,s,c.,.:xs:. Tus,»._ •r.•ars1.;,1•
':Meter Repair-Freestanding meter-20 ft NE of trailer.
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CON.;4S:r.kTk..R,rWU....i+r-f--'+��.�5,. ..Yu.av-.E rae-+,�-'ai.fi'r _ ,ti.>..._.k._.s•. - ...,.;fiYr...,.zs�.x4,
FOMATIOMQ,Cv,
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-AcIcittionalwor to. (e Dertormed under this permit-check..all thatapply:
HVAC !J Gas Tank ❑Gas.Piping• _Shutters Windows/Doors
aElectric ❑Plurnb.ing OS•prinklers, FIGenerator LI-Roof' ' Roof pitch
Total S'q.,Ft of Construction: 5 Ft..of First Floor:
Cost f-Construction:$` _5070k a Utilities: Building Building Height:
55s ; {,S S �yi `\Ic t4 +4f31 y a t �_ 4V�O T01 ` w
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Name F,41AL, TAG V _5'0 A)S Name: DAVID W NELSON
'Address: 7?49.6p mmk'12. 4 2 "Company Electraserve
City T" _ Pir~7 eg- State:. R- Address _901 Northpoint Parkway Ste 301
O;Code: 34OLS) ,Fax- 772 4(olo -.Z80L City:West Palm Beach State:FI
Phone•NZ
o. 77 —ftS 2475 . Zip.Code:. Fax:..33407 561,720._2253
E-Mall:. SgvTr-. (zAu4b-s= . Co 14— Phone No..754-205-2074
Fill'iri°fee simple Title.Holder on next page(if different. E-Mail: admin@electraseryewpb.com
from the Oviinee listed above) State or County License: EC13004120
If vaiue of construction is$2500 or more,a RECORDED Notice,of Commencementis.required.
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UJOiEiVfEN' AL CO iSTRUCTi',QN LEEN lAW 1[VF.Oi IVtATEQN:q -
DES[GNEEt ENGINEER: _Not Applicable MORTGAGE COMPANY: —Not Applicable fpp
Mame: Name: f
Address. Address;
City: State: City,: State:
Zip:, Phone _ Zip: Phone:
4
WE SIMPLt:TJTLE HOLDER- _NotA' pplicable COMPANY. Not Applieabte i
Name Name: E
Address.: Address:.
City:. City: i
Zp: hone: Zip:: Phone r
9
OWNER/cowmcw AFFiDVIT:Application is herebyrn6de-to obtain a permit to do the work.and installation as indicated.
.l 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 authorise the permit holder to build the subject structure
iwhich'is in'cotifllct with'any applicable Home Owners Association rules,bylaws or and covenants"that may restrict or prohibit such t
'structure.Pieaaetonsult wdh your Home Owners Association and review your deed for any restrictions which may apply.
In-corisideratfon'of the It
of-this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordancewith the approved pians,the Roche Building;Codes:and St,Lucie county,Amendments.
The folioWing buiIding permit applications are exempt from undergoing.a fu0 concurrency review:roost additions, i
accessory structures,,swimming pools,fences,walls,signs,screen roorns and accessory,uses'to another non=residential use
WARNING TO OWNER:Your4dilure to.Record a Notice of Commencement may result int-your paying twice'for
rriproveftierttS to your,prgp A Noiice of Commencement must be recorded and pasted on the jobsite
before the frst'inspect! f;you intend-to obtain financidgr consult with Ignoer Oran attorney before
Commencin :or ecordln.. our Notice of Commencement. ;
Signature ofz;wneq lignaufreoECo/ContractgrasAgeritfor.Ow�erntractd/LicenseHolde
.STATEOF;FLOR
STATE OF FLOWDA ,�t
COLINTY[IF J l�U�JZ COUNTY OF' ,c'!i'lt�,l '*z%Zr
s
'The rgolhg instrument wasac nowledged before me'" The forgomg instrumept%4as acknoevledged beforeme d
tFtlsda of 20�by this1 day of• HAW 2QJ'by `
y j
Name of pe s makirkg statement Name of person making statement
Personally Known- OR Produced Identification Personally Known• (�, OR Produced lde t
,High
Type of Identification. .Type of Identification •y int floc%a
Produ d ,Produced ',t 5tis�iti 73
a Nara, Nublic p k u�Ubui 20 1
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o MY Gom,aa9n.tSaiioaa
l7Nota�'y
ignature of No� bify;; �dff.gtot of FloridaCommissiortN �►9Y°wi ,Seal -Commission Ivo. (Se I)`ion GG 1891402/2022
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REVIEWS, X FRONT ,ZQNING SUPERVISOR PLANS VEGETATION SEi4TURTLE MANGROVE
COUNTER REVIEW REVIEW. REVIEW
REVIEW REVIEW REVIEW i
DATE
RECEIVED, !'
DATE .
I.COMPLETED
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