HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
' JUN 11 2010
a -
Building Permit Application
Planning and Development Services ST. 6aeie CquMyf perrltting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMITTYPE: Electrical
R,ROPOSED IIVIPROUEMENT LOCATION:
Address: 145 NE Naranja Ave
Property Tax ID#: 3419-530-0194-000-9 Lot No.8
Site Plan Name: Block No. 39
Project Name:
D:ETAI,LED DESCRIPTION O;F WORK
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Remove existing overhead service, panel, breakers,Land meter. Install 200amp meter with overhead service riser and
200amp MCB panel with 200amp meter y., �:.. �t��;r,e Z(Uo ry.�► S
CrONSTRUCTION INFORMAf , N _. .
Additional work to be performed under this permit—check all that apply:
�Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
WElectric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3185.00 Utilities: _Sewer _Septic Building Height:
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01NN'ER/LESSEE CONTRACTOR
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Name Ashley Spencer Name:Michael Flaxman
Address:145 NE Naranja Ave Company: Energized Electric
City: Port St Lucie State:_ Address:4252 Bandy Blvd
Zip Code: 34983 Fax: City: Fort Pierce State:FL
Phone No.772-342-7776 Zip Code: 34981 . Fax: 772-318-6672
E-Mail: Phone No 772-466-1095
Fill in fee simple Title Holder on next page(if different E-Mail EnergizedGenerators@gmail.com
from the Owner listed above) State or County License EC1 3006279
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.
SUPP.LEMENTAL`CQNSTRU�CI"I:ON LIdEIV 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 NOTICEAF COMMENCEMENT."
Signat of r/Le see/Contractor as Agent for Owner Signature of n ract r/License Holder
IT
STATE OF FLORIDA STATE OF FLORIDA I �r k�
COUNTY OF t ( ��� ( �� COUNTY OF t I
The fpr oing inst e t was acknowledge before me The rg ing instru_ nt�✓as acknowledP before me
this 1day of ,t( 20by thiday
Y. 1_
ame of person making stat ment. Name of person making statement.
Personally Known 7r O Produced Identification Personally Known OR Produ ed Identification
Type of entificati Type of I ntifi ation�
Prod uc d Produc d
(Signbfure of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVE
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