HomeMy WebLinkAboutBuilding Permit 7
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ( ,�
Date: 5/3/19 Permit Number:.1� 3,5
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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 x Residential
PERMIT TYPE: electrical meter replacement (corroded 200 A 1 PH)
PROPOSED IMPROVEMENT LOCATION:
Address: 4900 Watersong Way
Property Tax ID#.. 2532.500.0001.000.2 152693 Lot No.
Watersong Development
Site Plan Name: Block No.
Project Name: North gate meter
DETAILED DESCRIPTION OF WORK:
replace corroded electrical meter w/ new
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: $ 825.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Watersong Name: Michael a engl
Iant0y�/� 1{e Electrical Connections
Address: C o he �unrlse L�orTara Inn Company:
City: Jupiter State: FL Address: 1205 SE Dixe Cutoff Rd.
Zip Code: 33477 Fax: City: StuarttatFL
-5
Phone No. 561-325-0625 prp mgr Zip Code: 34994 Fax: � h�
E-Mail: ►nick@campbellproperty.com Phone No 772-2835792
Fill in fee simple Title Holder on next page( if different E-Mail mike@eleconnections.com
from the Owner listed above) State or County License EC13001494
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 T—MO R—TG AGE COMPANY: u 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 thepermit 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 Ower/ a ee/Contractor as Agent for Owner Signature of Contract icense Holder
STATE OF FLORI A STATE OF FLOAI A
COUNTY OF JET Z&"&- COUNTY OF �, &"d!
The for oing instru nt was acknowledged before me The forgoing instrum t was acknowledged before me
this day of 20' by this /V day of 20/1 by
/yI/GNf1 EL i Tz:4) /el /�/!�W EL- ET r Cwt}
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
— em_,e_� a-&-- e_o_�
(Sig atArx/Pt (Signature of Notary Public-State of Florida )
KAREN COLE
ComF-7'1Rr";rq111
I MY COMMISSION#FF9T2203(Sec Commis gr }�yP`�e: KAREN COLE (Seal)
* ; N#FF 972203
•a:' EXPIRES:March 16,2020
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Bonded Thru NotW Public Underwriters EXPIRES:March 18,2M
REVIEWS FRONT ZONING SUPERVISOR PLANS —MANGROVE
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DATE
RECEIVED
DATE
COMPLETED _
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