HomeMy WebLinkAboutBuilding Permit Application i
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/10/2019 Permit Number:'A rtc
^ ® - RECEIVED
Building Permit Application OCT 3 ® 2019
Planning and Development Services permitting Departmen+
Building and Code Regulation Division St.Lucie Coll`
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: 1008 Osceola Dr
Property Tax ID#: 3409-801-0003-000-4 "Lot No.
Site Pian Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
upgrade electrical service from 60amp to 150amp
change from overhead to underground service
replace 100amp sub-panel and all breakers
CONSTRUCTION.INFORMATION:
Additional work to be performed under this.permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
XElectric _Plumbing _Sprinklers _Generator =Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ $2000 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wylie and Lawana Brown Name:Daniel Stubbs
Address:1008 Osceola Dr Com an S4YV,Electric
_- p Y,� - - - --
City: FT.F'ierce i :, State: Address 501 V1(Coker Rd
Zip Code:; 34982:_ 9' -Fax City: Ft Pierce State:Fl
77.
Phone NO; Zip Code:;34945 Fax„
E-Mail: Phone No772-201-7320
Fill in fee simple Title Holder on next page(if different E-Mail danstubbs33@gmail.com
from the Owner listed above) State or County License30071
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 TITLEHOLDER: _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 LE ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sign caner/Lessee/Contractor as Agent for Owner Signature of Cont actor/License Holder
STATE OF FLORIDAjj L_", STATE OF FLORIDA
COUNTY OF &1, Li e COUNTY OF "`t
The forgoing instrument was acknowledged before me Theforgoing instrument was acknowledged before me
this A$,,day of Oc`f'—be-✓ .201'7 by this 79 dday of 0��bfv 20� by
W-y I i e p . 1>V oyVJy� aVI J'` S+i&1J�2S
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 o Si driature of -
;!!f" a KRISTEN HOOOIlMSE ' KRISTEN HOOti SE
State of Florida•N
Commission _, „ pion#01 f` Commission KRISTEN
of FlOdda-Noy #
s ; ommission#dG"Nis
M Commlaslon ENill onto 20- x r2 F M Commission 9XokG4
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA R GROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED F-71 1
DATE
COMPLETED
Rev. 2/7/19