HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUP
r .I n I
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTVPE: Electrical
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: 10701 S. Ocean Drive, Lot #643, Jensen Beach, FL 34957
Property Tax ID #: 4511-805-0044-000-2
Site Plan Name:
Project Name: Greg Klingler
Lot No. 643
Block No.
DETAILED DESCRIPTION OF WORK:
Provide and install new equivalent power pedestal (125 volt GFI receptacle, 30all25v RV receptacle, 250v/50a RV receptacle)
with associated grounding and related components (will remove existing power pedestal)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric Plumbing Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,350.00 Utilities: —Sewer _Septic Building Height:
Windows/Doors
Roof Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Greg Klingler
Name: Michael Dale Ault
Address;10701 S. Ocean Dr., Lot #904
Company: Ault Bros, Inc., Electrical Contractor
City: Jensen Beach State:
Zip Code: 34957 Fax:
Phone No.
Address: PO Box 1528
City: Port Salerno State: FL
Zip Code: 34992 Fax:
Phone No 772-283-5520
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail aultbros@yahoo.com
State or County License EC0001693
........� ..wa�Vila ,�cJLYV ul IlWltf, d n[4.VKUCU NOXICe OT lommencement 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:
Zip: Phone
City: State:
Zip; Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City'
City:
Zip: Phone:
Zip: Phone:
[]WNFR/rnruTDAfrnD Arrirm ov. w_
- -_ _ _. __. ,-14 1 11 1„ , , hNN„CdL,on is nereay 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
WTTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C MENCEMJENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA f�,�� 5,�./U
STATE OF FLORIDA
COUNTY OF N(.�! COUNTY OF 1L
The forgoing instrument was acknowledged before me The forgoing in meat was cknowledged before me
L
is day of {�- 20� by this 1 Z day of t 6 Ws�20 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 Ide
Ypication
Produced
Produced
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( ignatu try orfF#alpba (Signature Pu
Diana L Mason ary�i3$Rca�t,f�RJfi�7rilia
CDmmiSs' Y ` My Commission GG 39 . Diana L Masan
ap .. 23 Seal} Commission `Y Commission GG 31gt61}
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
For any other electrical applications apply Florida Building Code 107.3.5 Electrical
1. Wiring; Services; Feeders & Branch Circuits; Over Current Protection; Grounding; Wiring
2. Equipment Methods &Materials; GFCI
3, Special Occupancies
4. Emergency Systems
5. Communication Systems
6. Low Voltage
7. Load Calculations
8. Design Flood Elevation
ae
1. Size Service: I /
2. Conductor Size: � [Y CU ❑ ALUM
3. a. Meter Main:
b. Meter Can Only:
CONSTRUCTION TYPE:
❑ Residential
Dual Electrodes or Test Required- Mobile Home
❑ New Installation
❑ 01d Installation
ADA Accessibility Disclosure Statement — This document may be reproduced upon request in an alternative format by
contacting the County ADA Coordinator (772) 320-3131, the County Administration Office (772) 288-5400, Florida Relay 711, or by
completing our accessibility feedback form at www.martin.fl.uslaccessibilit -feedback.
Rev. 01-19