HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a
Date: Permit Number: I l
COUNTYRECEIVED
Building Permit Application
DEC 17 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 8701 US HWY 1 Port St Lucie, FL
Property Tax ID#: 3414-501-1914-250-2 Lot No.
Site Plan Name: 8701 U HWY 1 Block No. 3
Project Name: 87011 US HWY 1
DETAILED DESCRIPTION OF WORK:
Change out existing panel and replace with new- like for like
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
>'llectric _Plumbing _Sprinklers _Generator _Roof Pitch
ToIJ
tal Sq. Ft of Construction: n/a Sq. Ft. of First Floor:
Cost of Construction: $ 1100 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name FlC L Name: Donald B Green
Addr s. Company: Don Green Electric LLC
City: C C-! State: Address: 1305 W 1st Street
Zip Code: C Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34982 Fax:
E-Mail: Phone No772-418-5739
I
Fill in fee simple Title Holder on next page( if different E-Mail dongreenelectric@gmail.com
from the Owner listed above) State or County License EC13007447
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
POSTV115 ON THE JOB SITE BEFORE THE FIRST INSPECTION. If-YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR 140TICE OF COMMENCEMENT."
Signature of Owner/Lessee/Con ractor a ent for Owner Signature of Contractor/License Hol er
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF COUNTY OF /V
The Jorgoing instr ent Was acknowledge before me The foing instru nt acknowledge efore me
this day of 20 by thisday of _,20by
Name of person making statement. Name of person making statement.
P rsonally Known OR Produced Identificati n Personally Known OR Produced Identification
Ty of I ificat� Type f Identific tion
Pr a Pro
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Si na re of Notary Public-State of F or'd (Sign re otary Publ' - JOYcORIMIR COPELAND
STINE PELANDfi Commission NFF948042
ommission No. Co >RFF948042 Commission No. My Cop1� �pn Expires
My Comfi'fssion Expires Ja�1G�r S, 2020
Jenuu S.
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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. 2/7/19