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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/27/18 Permit Number:
1 d UQICO
RECEIVED
' � ` 0A X59° 3" Building Permit Application SEP 0 4 2010
Planning and Development Services Permitting Department
St. Lucie County I
Building and Code Regulation Division 1
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential '
PERMIT APPLICATION FOR: Electrical II
PROPOSED IMPROVEMENT LOCATION -L
Address: 8640 S. Ocean Dr, Jensen Bch, FL 34957 I
Legal Description: Regency Island Dunes a condominum comprising A part of section 34 township 36S Range 41E
Property Tax ID#: 3534- I I l -Occ.)ci ., OOQD Lot No.
Site Plan Name:.FPL HSE Block No.
Project Name: electrical meter repairs
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF ._.WORK
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replaced dmaged electrical meter and wire w/ new C7 - zoo A- t civ'
CONSTRUCTION INFORMATION
Additional work to be performed under.,;;....,:,,,k-.1:-;
his permit . l .11y: _ --,,,,,,;=-..-:,,,: :,---..::
—check all apply:
III HVAC _Gas Tank - nGas Piping _Shutters I I Windows/Doors
El Electric D ❑
El Plumbing Sprinklers Generator 111RoofRoof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor: 1
2400.00 1
Cost of Construction:$ Utilities: _Sewer Septic Building Height: 1
1
OWNER/LESS E CONTRACTOR
r
Name Regency Island Dunes Conds Assoc _ Name: Michael Pettengill
Address:8640 S. Ocean Dr. Company: Electrical Connections
City: Jensen Bch State:FL Address: 1205 SE Dixie Cutoff Rd.
Zip Code: 34957 Fax:772-221-0140 City: Stuart State:FL
Phone No.772-223-0911 Zip Code: 34994 Fax: 772-283-5890
E_maii:ridmgr@the-regency.com Phone No. 772-283-5792
eleconnections.com
Fill in fee simple Title Holder on next page( if different E-Mail: mike@eleconnections.com
from the Owner listed above) State or County License: EC13001494
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LEEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City: I
Zip: Phone: Zip: Phone:
I
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 reviewyour deed for anyrestrictions 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,
I 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 your Notice of Commencement.
Signature of Owner/Less 'ontractor as Agent for Owner Signature of Contracto'�ce .:e Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF M7-7'J COUNTY OF ;91 Ae-T/ti'
The forwirig instru nt was acknowledged before me The for ping instru t was acknowledged before me
this o2 l day of ,20 l$by this cQ7 day of 20 /6 by
/71 L'-/141 f i i; Ai !LC, /Gtr{% L /— icJGJ/CL
Name of pe s making statement Name of p n making statement J
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
�c.�r� e..974-42-- Bch-2K.
(Signature of Notary Public-S -__._.:._._- ture o Notary Public-Sta
................ KAREN COLE
Fritt"..".".".rFell:. KAREN COLE
Commission No. _:� . €Seal C0MMISSION#FF9 .�'K COMMISSION#FF9T22$3
W `= EXPIRES:►Aarch16,2�•� om fission No. ` 'eaf EXPIRES:March 16,2020C'''o F°P, BOndEd Thru Notary Public U -rs -�O!• Bonded'Mu Notary Public Under witers
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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