HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I, 1 I � tit Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: 'L\ec- ,f i Cc
PROPOSED IMPROVEMENT LOCATION:
Building Permit Application
Commercial Residential_
Address: 4-1 H q n W u 4()O ham, S h C`' _ i ( U I m C ;Ag I~ L S Li g g o
Property Tax ID ##: y , - ; c C) i to - OCR a G Lot No. b
Site Plan Name:
Project Name:
Block No_
I DETAILED DESCRIPTION OF WORK: i
CONSTRUCTION INFORMATION
Additional work to be performed under this permit -check all that apply:
Mechanical
�4AIectric
Gas Tank
Plumbing
Total Sq. Ft of Construction:i q
Cost of Construction: $
Gas Piping
_ Sprinklers
Shutters
Generator
Sq. Ft. of First Floor: _
Utilities: —Sewer _Septic
_ Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name f
Name: It 6.UhetXj
V;ncle
Address: 1 e
City: b i m � - -L State: L.
Zip Code: oLA 9 G V Fax:
Phone No.
Company: R ee [ rle
Cyr t C LC
Address: g- as SW
City: p ci �-
Zip Code: L� Q 5 '
Phone No
State: FC_
Fax: --
i7 -
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
i
State or County License
5-�= Z_u ( i e - -,2�!'-{ �
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 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."
Signaturb of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF S V • L
STATE OF FLORIDA
COUNTY OF-I..�CI
The for ing instrumenj was acknowledged before me
this ay of �G , 2t7 l by
The forgoing instrument,wap acknowledged before me
this day of 20j5_ by
t "S l S �Il°i Q
�Aia �✓`i s K4 4
Name of person making statement_
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification V
Type of Identification
Produced .F 1110 ZO 1`
Type of Idea�jfication
Produced YL. 'J 0A) d 22
{Signature of Notary Public- Sta*F)€]avid Singh
�,�NOTARY PUBLICCommission No.`SO0 1STATE OF FLORt
Canvrrl>: GG063932
-- _P 112812021C"�
{Signature of Notary Public- State o�tJoridad� Singh
NOTAi7Y PUBLIC
ommission No.� �'E OF FLORtpA
GG063932
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7119
Reel Electric, LLC
Matt Kindel
2761 SW Oakner Street
Fart St. Lucie, FL 34953
(772)200-7425
reeleJectric@yahoo.com
�a � asaa
Electrical Contractor: 9< e 1 L-4 r i, c
Phone # : 3:] 2 - q 6) - -1 L4 a 5 Fax 4.
print Form
Project Location: 1
`l �- q n k x*� ex h e _,� Y _ C- i r a.1 cn C i-1 j �3 ,-t q qp
Existing Service Feeder Sire. O 0-L) Existing Panel Size:
Main Bremer Size: 2 Number of Breakers-, - tv
Fxistitta Lsads
�^1 rt -3 Scl. Ft. 3C 3 watts per sq. $............................
M c watts
Appliance cir. @1500 watts each ....................
)45ct�-:, watts
Laundry cit. @ 1500 watts each ........... . ..... . ....
P watts
1 Range @ 8 kw .................................................
OOC watts
Dishwasher and disposal c@ 1500 watts each
watts
Miicrowave @ 2000 watts .................. ......... ..
"�^ �`� watts
Water heater @ 4.5 kw.-..-- .. . .............. . . .... . ..
wants
Tankiess water heater.. . ...............................
watts
d Dryer@ 5 kw.... . ................ .....................�SG!C'G
watts
Refrigerator @ 1500 watts .......................
C, watts
Bathroom 1 @ 1500 watts ........ . .................f
_�e watts
Sprinkler Pump ... ...................................
waits
�
/ Other i c - 131-
`3cc--cI, watts
Other ..............
watts
Other
wads Subtotal ') watts
F
Poollight.... . ...... ....................... ........
Heat pump... ... - .................. ........... . watts
Chlorine generator ................ ......... .. .......... . watts
Airblower .............................................. watts
Boatlitt ...... ....................... _ ...........
Other....... ......... watts
Other watts
Other ... _ ... watts
Total �1"7watts
First 10 kw @ 100°f9..................................... . ....... _ watts
Remainder @ 40%.............................................. ... i 3 watts
A/C heat @ 1001%.................................................... I C.', ' - watts
Total wants 3 LI 3 S OZ Divided by 240 volts = � � i Ll Amps
Prepared by: Date:
T:Nbldlbldg rormslNew ApplicationsTarmslElectricai Load CakWsiiom.doe
10/4/2007