HomeMy WebLinkAboutMETERAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 212712019
I
ry
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPEBectricial
PROPOSED IMPROVEMENT LOCATION:
Address: 5515 Palmetto Drive
Property Tax ID ##: 3402-607-0014-000-7
Site Plan Name;
Project Name; Mclung
Permit Number:
Building Permit Application
Commercial Residential XXX
DETAILED DESCRIPTION OF WORK:
like for like replacement of Meter, can, wires, mast, weather Head and grounds
ASAP PLEASE HOME HAS NO POWER DUE TO THIS ISSUE
CONSTRUCTION INFORMATION:
Lot No.
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Cas Tank _ Gas Piping Shutters Windows/Doors
_Electric _ Plumbing _ Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2 -
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Larry W McClurg Julie McClurg
Name:Anthony Diodato
Address:5515 Palmetto Drive
Company:ALT Electric, Inc
City: Fort Pirece State: _
Zip Code: 34982 Fax:
Phone No. 772-528-5056
Address:3108 SE Mali Terrace
City: Port St Lucie State: FL
Zip Code: 34984 Fax:
Phone No772-528-5056
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailANTHONYDIODATO@GMAIL.COM
State or County License EC13007369
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE-OF-COMMENCEMENT.-
Signature
OTICEOF-COMMENCEMENT."
Rev.
Signature ofne / Lessee/Contractor as Agen for owner
Signature of 6 n actor/License HoldJ
STATE OF FLORIDA,
ti a,
STATE OF FLORIDA
COUNTY OF i'i t.i
COUNTY OF
The forgoing instrument was acknowledged before MEM E=
The forgoing instrument was acknowledged before me
this as day offi iL 1 204 by
�
this a` day of Ft � 20� by
j
1 �F1A)j A.)
Name of person making statement.
Name of person rhaking statement.
Personally Known OR Produced Identificatio`
1:�Personally Known OR Produced Identification
Type of Identification:
Type of Ide tification
Produced
,Produce
/ofFlo-rida
(SignatA�ofytary Public State ]
(Signature of Notary Public- State of Florida )
Commission No! rgll (�) (Seal)
Commission No. � 5 � (Sea!)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
ELECTRICIAL RISER PLAN
XTlI1V TO ,SCALE
4
CONSTRUCTION TYPE:
O
Commercial
Residential
Q
Mobile Horne
D New Installation
Old Installation
e Conductor Size
t . Size Service: 2-60, jai
2. Conductor Sizer
3.a_ Meter Maur:
b. Meter Can Only: