HomeMy WebLinkAboutBuilding Permit Application NOU-01-2018(THU) 11 : 52 FORWRRO ELECTRIC (FAX)772 221 3180 P. 001/005
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:�1
RECEIVED
Building Permit Application
Planning and Development Services N O V 0 12018
Building and Cade Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 349$2 L ST. Lucie County, Permitting
Phone:(772)462-1553 Fax:(772)462-1578 Commercial C ReSI eY I�
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of fine p
I7 . - '$._• llll/i ' NOW t I,Cr
Address: •'J S ()S i
Legal Description: -&
Property Tax ID#: n� 7 �-' Lot No.
"01
Site Plan Name: ()Iii'r 3_ _ �4 471-3Z-1 J 1a r7b 1552 (59 Block No.
Project Name: tnA&9V.1 LLA GflRJ'y5,,Q5
Setbacks Front Back: Right Side: Left Side:
ffnow
) 4
OT
KNIFE
ACIC11tional work to be pertormea underthis permit-c�ec a app y:
HVAC Gas Tank OGas Piping _Shutters .Q Windows/Doors
Electric 0 Plumbing ❑Sprinklers I Generator 11 Roof Roof pitch
Total Sq. Ft of Construction: SCI. Ft.of First Floor:
K7
Cost of Construction:$ 7_�£ab, Utilities:0 Sewer Septic Building Height:
Name7t5k ,Q-1 C-� � -1`C-r> �' Name: LL ,2
Address: iW� 13f, -Lcr-we L7t'qW 11n) Company: r� c-
City:y�� PL_ ___ _ State:�LL Add r s:
Zip Code: 3LA11`l.k4 Fax: City,
Stater
Phone No. &2._k--1 t a Ls D Zip Code: t glgq D Fax: 7 I
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mall:'51+� —fit° It M�_IM-• Nl
from the Owner listed above) State or County License:. 1 OQ Q
If value of construction is$7500 or more,a RECORDED Notice of Commencement is required.
NOV-01-2018(THU) 11 ; 53 FORWARD ELECTRIC (FRX)772 221 3180 P. 002/005
0
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 Chat 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 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
commeficinR work or recording our'Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License*Holder,.
STATE
older•-
STATE OF FLORIDA STATE•OF FLORIDA `
COUNTY OF (_Y_Yi, lIhn COUNTY-OF 1111RR.11�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Or day of IVOir 201 by this. c)J day of r401 Mkf Jr, .20jqby
Name of person making statement Name of.person making statement
Personally Known X_ _ OR Produced identification Personally Known OR Produced Identification
Type of Identification ' Type of Identificatio
K
Produced -
-A
(Signat 21WLPof Florida)•• (Signature
,p GINA M,KFNyQ 2 Notary Public'•stales q Ida
Commill , •�= Not gal Commissio
State o�loriae eion k GG U15542
Commission,rr G y My Cmnm,E>rpires Jul 25,2020
M G t)t 5542... , o..
V Conlin Expires dui "�����` Bonded lhrougn Natlon� tL131s7Assn
•-- �9 arional Notary qse
REVIEWS FRONT UPERVISOR PLANS VEGE'T'ATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED 7�1
DATE
COMPLETED
Rev-8/2/17'
NOU-01-2018(THU) 11 : 53 FORWARD ELECTRIC (FRX)772 221 3180 P. 003/005
Electrical Contractor:_`fi_ !!(9R_y_)AtkQ
Phone#:_ 2:7- /Woo _ Fax#: Z. lr6n
Project:f! kf �,$ILocation
Existing Service Feeder Size*ik � Existing Panel Size: C/x
Main Breaker Size: fGG, ' Numbcr of Breakers:
Existing Loads
Sq.Ft.X 3 watts per sq.ft............................ / f3 watts
Appliance cir.@1500 watt,%each.................. S 4�0c, watts RECEIVED
Laundry cir. a@ 1500 watts each......... ............ watts
Runge @ 8 kw................................................. 6C,G watts NOV. ® 12018
Dishwasher and disposal c@ 1500 watts each...... watts OT. Lucito county, permitting
Microwave @ 2000 watts............................. watts - —
�,Water heater @ 4.5 kw................................ CJ C) watts
Tankless water heater............. ..... watts
-Dryer @ 5 kw............. ...........................
W is
I L
Refrigerator @ 1500 watts ............ . ....... . GGO w�* lk 3� P', *
Bathroom 1 @ 1500 watts ......................... . watts
Sprinkler Pump ........................................ watts
Other A C.. _5 6c.t':. 6T_0. ............... � watts
Other_ _ watts
Other ........ watts Sub total Z6 Watts
New Loads
Poolpump............................................... watts
Poollight................................................. watts
Heat pump...................... ........................ watts
Chlorine generator...................................... watts
Airblower................................................ watts
Boatlill.................................................... watts
Other ................ watts
Other ..... watts
Other ............ watts
Total G - Watts
First 10 kw @ 100%...:........................................ G 6c 0 Watts
Remainder @ 40%................................................... 7 � watts
A/C heat @ 100%................:.................................... watts
r� Total watts r ,�!r Divided by 240 volts= / Amps
Prepared by: W 4\,ayy\ Date: 1,l 1 vk—
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