HomeMy WebLinkAboutBuilding Permit Application All APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED v�^�
Date: 9 �. Permit Number: `
REE C E:I'v"E DBuilding Permit Appl icationFEB 11 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 ec C0 U n t FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Re�sitde� i�l Yo
PERMIT TYPE:ELECTRICAL
Address: 3265 S US HIGHWAY 1 FT PIERCE(LOTS 9, 10, 11, 12, 13, 14)'
Property Tax ID#: 2427-601-0054-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
UPGRADE SIX GANG ELECTRICAL SERVICE FOR SIX MOBILE HOME LOTS
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
Electric Plumbing _Sprinklers —Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 8600.00 Utilities: —Sewer _Septic Building Height:
Name PINE VIEW MHP C/O RIVERSTONE COMMUNITIES Name:JEFFREY R WAITE
Address:6400 TELEGRAPH RD SUITE 2000 Company:INFINITY ELECTRIC CO INC
City:,BLOOMFIELD TOWNSHIP . State:_M,1 Address:630 TALL PINES RD
Zip Code: 48301 Fax: City: HAVERHILL State:FL
Phone No.772-293-0069 Zip Code: 33415 Fax: 561-588-3805
E-Mail:KCONTI@RIVSTONE.COM Phone No 561-662-9299
Fill in fee simple Title Holder on next page(if different E-Mail IN FIN ITYELECTRIC@BELLSOUTH.NET
from the Owner listed above) State or County License EC-13006456
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: XNot 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.LucieCounty 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
commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Sig r of ntractor/Li ense Holder
STATE OF FLORIDAt, STATE OF FLOR DD /
COUNTY OF . . UU 6 e COUNTY OF r ��Qc cam.
The forgoing instrument was acknowledged before me The foro)ng instrument was acknowledged before me
this—q- day of 20 6 by this( day of 2011 by
Name of person making statement. / Name of person making statement.
Personally Known OR Produced Identification V Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced�'� Produced
(Sign ary Pu I ;4f�d��j _StaleolFlodda (Signa r�� p ary �f
Commission#GG 167258 =State of Florida-Notary Public
Commission No MY VgT&MiresDac11,2021- Com �- Commission#GG 24958(15 I)
emledihm,g�h(NaaUonal,NoWrykan. � `�, My CommisgiY022ires
August 16.REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER* REVIEW REVIEW REVIEW- REVIEW REVIEW REVIEW
DATE.
RECEIVED
DATE
COMPLETED
Rev.9/26/18