HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Dat`: x``11 �`� Permit Number:
• RECEIVED
o
Building Permit Applic ionpCT � � ,
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:Electrical
PROPOSED fMPRQVEM ENT'LOCATION.-
Address: 13228 Orange Ave i
Property Tax ID#: 2308-601-0173-000-9 Lot No.6,
Site Plan Name: Block No. C
Project Name: Irrigation pump electric service
DETAILED DESCRIPTION OF WORK:-
Install 150a meter/main combo panel on site to power irrigation equipment
Location on attached drawing
CONSTRU.CTIONANFORMATION: :
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:
r Cost of Construction:$ 800.00 Utilities: _Sewer _Septic Building Height:
E: CONTRACTOR:
OWNER/LESSEE: ,
Name lbtesam Saleh Name:Samuel Eades
1 Address:928 Campbell Rd Com pa ny:Advanced Lighting Designs
City: Ft Pierce State: Address:949 SW Jeremko Ave
Zip Code: 34954 Fax: City: Port St Lucie State:FL
Phone No.772-359-6907 Zip Code: 34953 Fax:
E-Mail: Phone No 772-370-2113
n
Fill in fee simple Title Holder on next page(if different E-Mail eaelectric@yahoo.com
i
from the Owner listed above) State or County License EC13005896
s
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.
r
6
S
E
C
d
i
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 COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR L ER OR ANTORNEY BEFORE RECORDING YOU ICE OF COMMENCEMENT."
g re ;rnegKe`ssee/CQ ntractor as Agent for Owner =ATEOF
or/License Holder
STATE OF FLORIDA ORIDA
COUNTY OF—6>r, _U134--'VR COUNTY OF
The forgoing instrument was acknowled5before me The forgoing instru ent was acknowledged before me
this---N day of <ocfi 20_ by this A clayoflt47N 20AA by
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 �- L
(Signature of Notary Pu ic-Stat NpNIAR�SG p 3 (Signature of No
D aN#GG�22^ � GGSvJ't.
.,•'vw, MY OMMIS mb�16 20r lets F• v C tA1SS bU cN t�:;•
Commission No. { detwrl - 'f7 ' ►)acts f�,, ti
- .
� ' publlcUn ommission : P b�1c'� lig,_
Ta • - Notary
=;; a gandedSttN =" .is goaded
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
ri RECEIVED
DATE
COMPLETED
ev.2/7/19
y