HomeMy WebLinkAboutDrawing ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n��,,j
Date: Permit Number: oQu-
" P
y RECEIVED
Building Permit Application SFp 1 3.:2018
1 Planning and Development Services a-Mlitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Electrical
`PIt40pOSED IMPROVEMENT LOCATION 1. h
Address: 200 E! MOX Or Aa 201
Legal Description: QCb VAL410 CAIDOSI ConaDIr'Ylin iu1'1/1 610 A A o+ !
Property Tax ID#: q5l 1 '512-000(0 -000-5 Lot No.
Site Plan Name:( Block No.
Project Name: QOdlrl Q .(�'L 1Z251Gleir�ClL
Setbacks Front Back: Right Side: Left Side:
DETAILEDDESCRIPTION OF'WORK` r }
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+-),R Qfish n9 100 amp Ppm Wioi gMW125 Qrnp pans-k.
CONSI'tRU�CTION INFORMATION
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Additionalworkkto be nertormed under this permit—c ec all appy:
HVAC Gas Tank F]Gas Piping _Shutters []Windows/Doors
9 Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 3 ,3q0 PO Utilities:Sewer Septic Building Height:
01NN ER/LESSEE
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ONTRA OR
Name Latina keRo- Z �0 .��Ahrl Q U)2h It
Address: 10Z S 1" LAM Company: 34irm Met Etecmw Co raU'a
City: 11 �A
11AIA State: F I Address: 4 241 SU.) ftil a MeadhuiS Q14 f
Zip Code: LS-311(0 Fax: City: ?QAM G. Stater
Phone No. Zip Code:,34M Fax:]72-21q-3?_qZ
E-Mail: Phone No. 112 -21 q— 33Sq
Fill in fee simple Title Holder on next page(if different E-Mail: r-cleolic &M
from the Owner listed above) State or County License: D1,3003485
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Ate,
SUPPLEMENTAL CONSTRUCTION LIbEN LAUD INFORM JION e
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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 thepermit 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 recording our Notice of Commencement.
/4
Signatu of Owner/Lessee/Contractor as Agent for Owner Signature I
Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFM011ki(I COUNTY OFMAYIdtl
The forgoing instrument was acknowledged before me The forgoing instr ment was acknowledged before me
this a of 20_a by this 17-40 y of Q 20JJ by
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��1r1 P l b1'lI P Weh W .
Name of person making statement Name of person making statement
Personally Known 4—OR Produced Identification Personally Known _OR Produced Identification
Type of Identification Type of Identification
j Produced Produced ..,..
„ LISA CUNT LISA CUNT
MY COMMISSION#GG 220588 f*� .: MY COMMISSION$G p
PP:? EXPIRES:June 18,2022 - ;, P;°o' EXPIRES:June 18,G 8
20
(Signature of Notary Pu Io-„ a (Signature of Notary Public-St to ra
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Electrical Contractor: (Unlycicxna
Phone#: ��2- 2�q-y33�Q Fax#: Z-Z� -324
Project:. e. Rt A C(Location:
Existing Service F eder Size: 2 A61 M1;dlwmExisting Panel Size: 100
Main Breaker Size: 100 ann D Number of Breakers: I(0
Existing Loads
8(P0 Sq.Ft.X 3 watts per sq.ft............................ 2 0 watts
Appliance cir.@1500 watts each.................... watts
Laundry cir.@ 1500 watts each...................... watts
Range@ 8 kw................................................. '?000 watts
_Dishwasher ander @ 1500 watts each...... 00 watts
Microwave @ 2000 watts............................. watts
Water heater@4,5,kRx................................ .38t)0 watts
Tankless water heater.................................. watts
Dryer @ 5 kw.........................:................. watts
Refrigerator @ 1500 watts 00 watts
_Bathroom 1@ 1500 watts .......................... 00 watts
Sprinkler Pump ........................................ watts
Other ............... watts
Other ................. watts �y
Other watts Subtotal O . 00 Watts
New Loads
Poolpump............................................... watts
Poollight................................................. watts
Heatpump............................................... watts
Chlorine generator...................................... watts
Air blower................................................ watts
--- --- - -
watts—
r Other UX6 Jn f r ................ 1500 watts
I Other O(xi ul 000 watts
Other ................ watts
L) Total 1U�W Watts
V
First 10 kw @ 100%............................................. I ,000 watts
Remainder @ 40%................................................... cam► 2 watts
A/C heat @_100%.................................................... I� watts
Total watts2.3,(P5 6 Divided by 240 volts= Amps
Prepared by: Date:
T:\bld\bldg_forms\New ApplicationsTormsTlectrical Load Calculations.doc 10/4/2007
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