HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J
Date: t�'�' , Permit Number:
RECEIVINJ
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-- Building Permit Application AUG 2 6 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X
kesidentidt-
PERMIT TYPE:Electrical
PROPOSED IMPROVEMEN.T'LOCATION:
Address: 5045 Turnpike Feeder Road
Property Tax ID#: 1312 422 0000 000 7 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF,WORK.
Add 4-50 amp outlets in kitchen
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:$ 3000.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: : .CONTRACTOR:
Name:�w.�
Address: x, Company:S&W Electric Inc
r w
cit -
501 est CokeRoad:
y �� -.Y rr�-c-- -- State•_ Address:,_- �.. ....:... ... - -
Zip Code: Fax: Cit `Ft Pieiee" ' State:FL
77.
Phone No ��%���� Zip Code: 34945 Fax
E-Mail: Phone.No772'464=6466
Fill in fee simple Title Holder on next page(if different E-Mail stuboutelectric@aol.com
from the Owner listed above) State or County License tre /��� �'�97
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 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 CO ENCEMENT MU TBE RECORDED AND
POSTED THE JOB SITE BEFO E THE FIRST INSPECTION. IF YOU END TO OBT FINANCING, CONSULT
WITH Y LENDER OR ANA RNEY BEFORE RECORDING YOUR ICE OF CO CEMENT."
ature of Owner/L see/Contracto as Agent for Owner Signature of Contractor/License Holde
STATE OF FLORID STATE OF FLORI
COUNTY OF COUNTY OF GCS/
The for oing instrum t was acknowledged before me The or oing instru e t was acknowledged before me
this�c day of 20�M•by thi day of 20/1 by
k� vi)/e r� c �'��- �,b e� �� w o—er� c .b
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
(Signature of otary ublic-State of Florida) (Signature of o ary Public-State o.f•Florida)
Commission No. Commission No. AUDREYB{6WP)iREY
AUDREY PHREY MY COMMISSION#GG 300817
MY COMMISSION#GGFYPIRr::&Match 300817 :�� 2
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.'•'•;Fos FSO?:`• Bo ' .FBF [3onded Thru Notary Publ Underwriters
REVIEWS Publi u OR PLANS VEGET VE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19