HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/16119 Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virainia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 7684 Wyldwood Way, Port Saint Lucie, Florida 34986
Property Tax ID #:
Site Plan Name:
3321-801-0006-000/6
Reserve Plantation - Phase 1
Lot No. 6
Block No.
Project Name:
DETAILED DESCRIPTION OF WORK: - I
Replaced two panels: 1 - 200 AMP Challenger, 1 - 125 AMP Challenger, with SQ-D Homeline 1 - 200 AMP, 1 - 125 AMP
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical — Gas Tank — Gas Piping _ Shutters
X Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 315d . OCR
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: ---- Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Robert J. YafFey & Ana M. Yaffey
Name:_ RbsseLG-eWr �ig(t - Lk-{ f n roAf L
Company: Culpepper Electric, ind,
Address: 7684 Wyldwood Way
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No. (772) 882-5874
Address: 403 SW Squire John's Lane
City: Palm City State: FL
1 Zip Code: 34990 Fax:
Phone No (772) 597-3201
E-Mail culpepperelectric@comcest.net
State or County License EC13007560
E-Mail: dy305(cD.gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
It value of construction is 5zwu or more, a HECUKULU Notice or commencement is requires.
if value of HVAC is $7,SOO or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY- _ Not Applicable
Name: Rocket Mortgage by Quicken Loans
Address: P.O. Box 6577
Address:
City: State:
Zip: Phone
City: Carol Stream State: IL
Zip:60197-6577 Phone: -
FEE SIMPLE TITLE MOLDER: X Not Applicable
Name:
BONDING COMPANY: X 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 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."
Via.
Signature f Owner Lessee/C t actor as A e for Owner
signature of ontract r/License Holder
STATE OF FLORIDA
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STATE OF FLOR
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COUNTY OF
COUNTY OF
The f rgoing instrument was acknowledged before me
The for oing instrument was acknowledge before me
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this day of 2011 by
this day of t.Q 20 by
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Name of person snaking statement.
Name of per on making statement.
Personally Known OR Produced Identification
Personally Known '—� OR Produced Identification
Type of Identification
Type of Identification
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Commission No.
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7119