HomeMy WebLinkAboutELECTRICAL PERMIT All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/5/2019 Permit Number:
- J
o F
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone. (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 9119 Champions WAY
Property Tax ID#: 3334-501-0083-000-8 Lot No.5
Site Plan Name: 9119 Champions WAY Block No. B
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF ELECTRICAL POOL HEATER WITH RECIRCULATING PUMP
CONSTRUCTION INFORMATION:
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: $ 1,600.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
NameJames Sanfilippo Name:PAUL ROMANO
Address:30915 Pebble Beach OVAL Company:AAPEX ELECTRIC INC
City: Westlake Stater Address:561 SW 13ILTMORE STREET
Zip Code: 44145 Fax. City: PORT ST LUCIE State:FL
Phone No.218.469.7165 Zip Code: 34983 Fax: 772.785.7058
E-Mail: Phone N0772.607.9494
Fill in fee simple Title Holder on next page[if different E-MailAAPEXELECTRIC c@YAHOO.COM
from the Owner listed above) State or County License ER1 3014699
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,S00 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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 of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUciE COUNTY OFSTLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 5TH day of MARCH __.20.E by this 5TH day of MARCH 20A by
PAUL ROMNAO PAUL ROMANO
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
=Ot,gY rvs�� JAW L HARNER
* *MY ODMM *N#GG 069122
c EXPIRES;April 2,2021 CA0,!�ft ! i ��Dx)tciW Pot JAIME L HARNER
Si nature of Notary Public- 6 of nary ( nature of Notary Public-S bri
P4R S April 2,2021
Commission No. CGO89122 (Seal) Commission No. cao89122 �P``°F � 5 Y r NoOrySeN;Ce`
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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