HomeMy WebLinkAboutAnthony permit application 3-12.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3112120 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 3703 Promenade Way
Property Tax ID #: 2433-502-0046-000-1
Site Plan Name: Anthony Carraway
Project Name:
Commercial Residential x
Lot No. 46
Block No.
DETAILED DESCRIPTION OF WORK:
Wire and install 30 amp generator receptacle under disconnect outside Install generator interlock on disconnect.
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank —Gas Piping , Shutters _ Windows/Doors
4)—Electric — Plumbing _ Sprinklers _ Generator ^ Root
Total Sq. Ft of Construction:
Cost of Construction: $ 650.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Pitch
OWNER/LESSEE.
CONTRACTOR:
Name Anthony Carraway
Address: 3703 Promenade Way
Name: Robert Thompson
Company: R Thompson Electric
City. Ft Pierce State: _
Zip Code: 34982 Fax:
Phone No.772-465-4689
Address:439 SE Cork Rd
City: Pork Saint Lucie State: FI
Zip Code: 34984 Fax: 772-408-5501
Phone No 772-203-1756
E -Mail: Hhompsonelectric@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner Fisted above)
E -Mail rthompsonelectric@yahoo.com
State or County License EC13007306
If value of construction is $2500 or more, a RECORDED Notice of commencement is requires.
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
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Rhone:
City:
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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
f �
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA f
COUNTY OF
The fo�r,�oing instru e t s acknowledge before me
this l /� day of t�/ :t I 20 �Uby
n,
Name of person making statement.
Personally Known� OR Produced Identification
Type of Identification
Produced
(Signature Notary Publi [ f FE JublicState of Florida
Melissa L Butteifiald
Commission Nail' SCZGvS my ��t is,sionGG302065
d� Ex
Signature of Contractor/License Holder
STATE OF FLORIDA `s
COUNTY OF _) L
ti(rt -e
The foring instru esnt w4� acknowledged before me
this day of ! e" 1 20 jt)by
_ c
Name of person making statent.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature. of Notary Public-RZ—o;
ridAtIry Public State of Flonda
Melissa L Butterfield
-fvjyt�iss oti GG 3(}2065
amm1551an No. 'P nrs+°ES[¢ 2!1412023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19