HomeMy WebLinkAboutBuilding Permit Application II
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q L�
Date: b c 0 a,-19 Permit Number: 1'i 5- 00 to✓
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01.5.144,- MAY ®2 2019
Building Permit Applicati ,nitting Department
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 1713 NW Buttonbush Cir 34990
Property Tax ID#: 4426-835-0013-000-8 Lot No.3
Site Plan Name: Harbour Ridge-Plat 18 Deer Moss Village (OR 977-2209) Block No.
Project Name:
DETAILED DESCRIPTION OF WORK: I
REPLACE EXISTING 200 AMP MAIN BREAKER ELECTRIC PANEL WITH NEW 200 AMP MAIN BREAKER ELECTRIC PANEL
EXISTING PANEL IS CHALLENGER BRAND
HOME OWNERS INSURANCE COMPANY WANTS IT CHANGED TO AVOID CANCELLATION
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: il
Cost of Construction:$ 1500.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR: ,,
Name DAN CREMINS Name:JOHN R STEPANEK
Address:1713 NW BUTTONBUSH CIR Company:A+ELECTRICAL SYSTEMS INC
City: PALM CITY State: -- Address:567 SE CHAPMAN AVE
Zip Code: 34990 Flax: City: PORT ST LUCIE State:FL
Phone No. Zip Code: 34984 Fax: j
E-Mail: 0 I Phone No772 528-9914 ,
Fill in fee simple Title Holder on next page(if different E-Mail jackrstepanek@gmail.com
from the Owner listed above) State or County License l=.I 3D0'4 12 I
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. _ 1
If value of HVAC is$7,500 or more;a RECORDED Notice of Commencement is required.
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SU'PPLEMENTAL CONSTRUCTION LEEN LAWrINFORMATION _ T _ •
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone , Zip: Phone:
i
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 YOURIIPAYING
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 Y 1 UR LENDER OR A, ATTORN • BEFORE RECORDING YOUR NOTICE OF C'iMENCEMEIT."
2 _:_,, /-..a1111111111/ I,,,, g_ i ow pr i .
Signa Vf Owner/Lessee/Contractor as Agent for Owner Signa • • of Contractor/Lice se . der
STATE OF STATE OF FLORID t i
COUNTY OF FLORIDA_` l,(J( -Cc -- COUNTY OF `11 U-,
The forgoing instrument was acknowledgedefore me The forgoing instrument was acknowledged before me
this o-- ay of ?\/•-4'd------ ,20 y
this1_.day of ,2I_ by
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification l
Type of Identification_ Type of Identification
Produced F. ` Lr Produced P L. ID
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(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
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Commission No. I (Seal) Commission No. (Seal) 'III
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED ,
DATE
COMPLETED
Rev. 2/7/19