HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-28-19 Permit Number:
•
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
PERMITTYPE: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 8006 Paso Robles Blvd.
Property Tax ID #: 1301-607-0186-000-7
Site Plan Name:
Project Name: Andrew J Fiore Residence
Lot No. 1
Block No. 77
I DETAILED DESCRIPTION OF WORK: I
Change out Panel - "like for like".
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-- check all that apply:
_Mechanical Gas Tank _ Gas Piping _ Shutters Windows/Doors
i Electric _ Plumbing Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2270.00 Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Andrew J Fiore
Name: Joe's Electric of St Lucie Cnty., Inc.
Address: 356 Manville Road
Company:Joe's Electric of St Lucie Cnty., Inc.
City: Pleasantville State: N
Zip Code: 10570 Fax:
Phone No. 914 769-3980
Address: 1206 Bell Avenue
City: Fort Pierce State: FL
Zip Code. 34982 Fax: NLA
Phone No 772 465-2363
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail joesselecstlucie@aol.com
State or County License # 29567 - EC13007203
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 1 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 �ITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
�H-- OUR L€NDER O AN ATTORNEY BEFORE RECORDING YOUR N TICE OF COMmI:NCII_MENT."
re Owner Lessee/Contractor as gent for Owner
r
of o ractor/License Holder
=TATE
OF FLORIDA
F FLORIDA
COUNTY OF St LA.
COUNTY OF St Lucia
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 28 day of mAy 200 11 by
this 28 day of m+Y 2/0_!_J by
Name of person making statement.
Name of person making statement.
Personally Known V OR Produced Identification
Personally Known _g OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
lyej
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Comm! .g. RI►Mo[3«u MCDANII)
Commissioll Pm MCdBiWL
MY COMWSSION tr FF9156(m
MY COMMISSION # FF915604
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REV
SUPERVISOR
PLANS
NINGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev.2/7119