HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED.
12/16/19 I
Date: Permit Number:
RECEIVED
Building Permit Applicati n
Planning and Development Services DEC 16 2019
Building'and Code Regulation Division
2300 Virginia Avenue,fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578' Commercial X Residential
PERMIT TYPE:electric
[-PROPOSED.]M PROVE M ENT LOCATION:
Address-.3100 N AlA -
Property Tax ID#: 1425-606-0083-000/3Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED"DESCRIPTION QF WORK:`
- wire and hook up 2 heat pump units (reference permit#si.c 1909-0589)
`.CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical --Gas Tarik-' _Gas'Pipi.ng _Shutters' _Windows/Doors
Electric Plumbing =Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1500 Utilities: —Sewer —S.eptic Building Height:
OWNERAESSEE: F, CONTRACTOR: ,
Name Sci,,ds o tie A e6v, .S-,cJ,V1 L Name:Daniel Stubbs
Address: '31 00 IU Company:S&W Electric'.
City: A;t r c State:L Address:501 W.Coker Rd
Zip Code: ,3 1-1 i 1_/q ,Fax: City: Fort Pierce State:FI
Phone No. 5 S`/ 3�/ 70��J " Zip Code: 34945 Fax:
E-Mail: Phone No 7.724646466"
Fill in fee simple Title Holder on next page(if different E-Mail danstubbs33@griiail.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 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 andinstallation 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.'
Signature of Owner Lessee/Contractor as Agent for Owner Signat'u're of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA-
COUNTY OF COUNTY*OF--
The forgoing instr ment was acknowledge before me- - The forgoing-instr ent was acknowledge before me
this�day of 20 by this-4.day of 20 by
ILEcelB 6 el S
Name of person making statement. / Name of person making statement.
Personally Known OR Produced Identification ✓ Persona Ily'Known OR Produced Identification
Type of Identi ' ion Type of Identifi
Produced Produced
(Signature o Nota Public-Sta e o Florida) (Signature of Notary Puic-State of Florida)
YP��4 KAREN S. NI��N [gt"'IIo KA-REN.-S. NIELq l)
Commission ��° °8; Commissi' "Y^�a,
aF rida-No ublic • - da-Notary Public
•_ Commission # GG 207484 *_ Commission-# GG 207484
My Commission Ex ire 0�
J ne 12.. 2022 Une 12, 202^
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