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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
mqz F �
UN 18 2019
Building Permit Application SST. Lucie County,Permitting
Planning and Development Services
Building and Code Regulation Division /
2300 Virginia Avenue,Fort Pierce FL 34982 j//
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line IC�,
est :t t-3 ➢
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Address: C?C94J2 -DOZ, Ziz/gr a /�� 3'et1S 7-
Legal Description: /�iirlTs ���lv��/niiJl�.e� r � Gh/i%. X03 fl/y G��D"Ol' T
Property Tax ID#: f ��? '`�'42 —O �f D ^©d d Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side: r
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itiona wor to a er orme under this permit-check a appy:
aHVAC 13 Gas Tank ❑Gas Piping —Shutters ❑Windows/Doors
11 Electric ElPlumbing ❑Sprinklers 01Generator ❑Roof
Total Sq. Ft of Construction: S Ft,of First Floor:
Cost of Construction:$ ��®� Utilities.. Sewer❑Septic Building Height:
4_054>:�:i -ti '=iL'1`�j x- .t�a+^�{..e - t`ra.�.:'Jw�? 'r".. .��^e^��} i •r' .,'�1x.3£f.r d...1 t/-�(,} be1�Xw.. y 0 (' .a.- •..:*x S c .t� .4.,.i. fi
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Name Name: JAMES K WILLIAMS
Address 101d•- .s OG''2�a Company: ARLINGTON ELECTRIC
City: jvVs State:�L Address: 3251 SE DIXIE HWY
Zip Code: o Fax: City: STUART State: FL
Phone No. Zip Code: 34.997 Fax: 772-287-2380
E-Mail: Phone N0.772-287-1353
Fill in fee simple Title Holder on next page(if different E-Mail:gregg@arlingtonelectricinc.com
from the Owner listed above) State or County License: EC 13007767
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
a i 'irp .��r�4 r:.'r3b-�•?t� -t t�.'i Z-.w:i: �l: •' 't"3S .'>s t ;a c.-�, �: -� : F ss��i2"Lt'S'����x�}� 'moi`�"sr- ,a a �',uF�
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 apermit will authorize the permit holder to build the subjects kkructure
which is In conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohlblt 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Comm encement.
Y L �11UY n s
S On
ature of Owner/Lessee/Agent Sign I
re of Contractor/License Holder
STATE OF FLORIDA \M R JAyi STATE OF FLORIDA
MARTIN
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this t\ day of -u.-+t . 20 Eby this L i day of. —TL-- ,20 11 by
JAMES K WILLIAMS
(Name of person acknowledging) (Name of person acknowledging)
(Signatu otary Public-State of Florida) (Signature of Public-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known ✓OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) CommissI
oda pyp GREGG H R06INS6
GREGG H ROBINSON �,.o«
2• •Ca�, � -Z.f • .,
`
Commission GG.fl33149 ?N• cc Commission#GG 033149
Revised 07/15/ ,9 M Comm.Expires Sep 25,2020 p�`� My Comm.Expires Sep 25,2020
yBonded haigh Mminnal Notary I—
\
11
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
, COMP E
INITIALS
RECEIVED
JUN 18 2019
ST. Lucie County, Permitting
ec
W,
U
LU u
A- did � o!
3~0.3
00c) O 0 , 000
000 000 [RI-,A) 000
000 000 000
000110001 00 0
t
RECEIVED
JUN 18 2019
Electrical Contractor: 4 45,19c ,, °N&I ST. Lucie County, Permitting
Phone#: ; ,`d` t �°� Fax#:
Project:,04 e lea.- r Bs Location: , 'aeea4,? ,�9�t_ - J2©,,.3
Existing Service Feeder Size: Zq Existing Panel Size: G90 .slr�►sr�
Main Breaker Size: /e4F Number of Breakers:
Existing Loads
Sq.Ft.X 3 watts per sq.ft.......................... . ,y watts
_ Appliance cir.@1500 watts each.................... watts
Laundry cir.@ 1500 watts each...................... wa
Range @ 8 kw............................................... 4eiP waI I Lt u0ply
Dishwasher and disposal @ 1500 watts each...... 7Wt0e> watts
Microwave @ 2000 watts............................. watts RECEIVED
_Water heater @ 4.5 kw................................ _watts
Tankless water heater................................ watts JUN 18 2019
Dryer @ 5 kw........................................... watts SLIucie County,+ ,Permitting
Refrigerator @ 1500 watts o� watts
Bathroom 1@ 1500 watts .......................... 'watts
Sprinkler Pump ...................................... .
. watts
Other watts
Other watts
Other ............ watts Sub total `s Watts
New Loads
Poolpump............................................. watts
Pool light............................................... watts
Heat pump............................................. watts
Chlorine generator...................................... watts
Air blower.............................................. watts
Boatlift.................................................. watts
Other ................ watts
Other ...I........ watts
Other ..I......... watts /�+
Total "7"`� '="'`watts
r,--- -=- Fust 10 kw @ 100%........................................... �d�� watts
aRemainder @ 40%................................................... watts
& watts
A1C heat @ 100%.....................:................. __
Total watt ; Divided by 240 volts= �� Amps
Prepared by: S �`� L.L' � .--- Date: 4_1 —11,10
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