HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�� .0 r
Date: &7• / Permit Numb r _�!r% 'D
OCT 9 2019
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Building Permit Appli aftie Hitting Department
Planning and Development Services St. Lucie County, FL
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT TYPE:ELECTRIC
PROPOSED IMPROVEMENT LOCATION:
Address: 13013 NW HARBOUR'RIDGE BLVD PALM CITY 34990
Property Tax ID#: 4426-830-0023-000-6 Lot No.
Site Plan Name: HARBOUR RIDGE PLAT 16 Block No.
Project Name: FIG TREE VILLAGE UNIT 21 (OR 3775-1404)
..DETAILED DESCRIPTION-OF-WORK:
REPLACE EXISTING 150 AMP METER MAIN COMBO.REPLACE EXISTING 150 AMP 30 CIRCUIT ELECTRIC
PANEL.REPLACE ALL CIRCUIT BREAKERS. EXISTING EQUIPMENT WAS MADE BY CHALLENGER
OWNERS INSURANCE COMPANY WILL NOT RENEW UNTIL EQUIPMENT IS REPLACED
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:
00
Cost of Construction:$ Utilities: —Sewer _Septic Building Height:
,.OWN,ER/LESSEE:. .CONTRACTOR:
NameMALCOM R MYERS Name:JOHN R STEPANEK
Address:PO BOX 460 Company:A+ELECTRICAL SYSTEMS INC.
City: PAINESVILLE State:_ Address:567 SE CHAPMAN AVE
Zip Code: 44077 Fax: City: PORT ST LUCIE State:FL
Phone No.772 336-0074 Zip Code: 34984 Fax:
E-Mail: Phone No772 528-9914
Fill in fee simple Title Holder on next page(if different E-Mailiackrstepanek@gmail.com
from the Owner listed above) State or County License EC13007121
If value of construction is$2500 ormore,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: V 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 thepermit 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 UR LENDE A TTO ECORDING,YOUR NOTICE OF MMENCEMENT."
Signature o Owner/L ssee/ tractor as Agent for Owner ign ture of Contractor/Lic nse Holder.
STATE OF FLORIDA �, 1 COUNTY FLORIDA oQ,�
COUNTY OF may(
The f9going instrument was acknowledgedfore me The going instrument was acknowledge efore me
this�day of � ,201�y this day of ) 20-by
Name of person making statement. Name of person making statement.
Personally Known`/ OR Produced Identification Personally Known i/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signaturepblic r (Signature of Nota Public-State of Flori a
)
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REVIEWS FRONT ZONING SUPERVISOR PLANS S11.C �` aMANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 19