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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ''I,,((�� Date: Permit Number:,�.-lJo - : n _... . �i - REEXvI'I BuildingPermit Application MAR 0 4 2020 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 Residential X PERMIT TYPE: ELECTRICAL PROPOSED=IMPROVEMENT LC?CATIIV m F ' Address: 130 NETTLES BLVD Property Tax ID#: 4502-501-0316-000-9 Lot No.130 Site Plan Name: Block No. Project Name: DETAILE© QESCR(,PTION OF Install a new 20 amp 120 volt receptacle in new customer supplied enclosure plus/minus 5ft.from the existing power supply CONSTRUCTION,INFORMATION Additional work to be performed under this permit–check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 255 Utilities: —Sewer _Septic Building Height: OWIVERjLE55EEx' CONTRACTOR :. Name Mark Maier Name:EDWARD D. FLACK Address:407-1377 Lakeshore Road Company:KILOWATT ELECTRIC COMPANY City: Burlington State: ON Address: 1700 NW 22ND AVE Zip Code: L7S 1 B1 Fax: City: POMPANO BEACH State:FL Phone No. Zip Code: 33069 Fax: 954-975-9946 E-Mail: Phone No 954-975-8200 Fill in fee simple Title Holder on next page(if different E-Mail EDDIE_FLACK@KILOWATT-ELECTRIC.COM from the Owner listed above) State or County License EC13001961 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. SU1.22@0 ��ENT�A�l tit I R" CTtgN LIEN 1A11V IN1=0ftiV1AT ,. DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name:NIA Name:NIA Address:NIA Address: NIA City: State: City: NIA State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name:NIA �- Name:NIA Address:NIA Address: NIA City:NIA City:NIA Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie Count, makes no representation that is granting a permit will authorize thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON T JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IINTWD TO OBTAIN FINANCING, CONSULT WITH YOU ER OR AN A1Ii_0RNEX.BEEQRE RECORDING YOUR N0,T4CE4F CO NCEMEN7" signat r f owner/Lessee/Contractor as Agent for Owner Signat a€Contractor/License Halder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF$RowARD COUNTY OF aRowAm The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 16 day of JANUARY 20 20 by this 16 day of JANUARY 20 20 by Name of person making statement. Name of person making tatement. Personally Known R P a c d ti ' t'o Personally Known / OR Produced Identification Type of identification Type of identification y+ No"Pubkc State of Florida Producedko Produced t�8t6 Notary Public Stine of Fb" r My ccir"Mission 287768 r Diane E Gafthouse Aja v Expires 01/0112023 My Commiaaion GG 287781 p Expires 01/0112023 (Signature of Notary Public-State of Florida) {Signature of Notary Public-St r Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.2/7/19