HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/03/2020 Permit Number:
S J _ -
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 Commercial Residential X
PERMIT TYPE: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 228 Marina Dr., Hutchinson Island, FL 34949
Property Tax IDH: 1425-701-0117-010-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
New service disconnect and panel to home. Demo
CONSTRUCTION INFORMATION:
Lot No. 4
Block No. 5
Additional work to be performed under this permit—check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 5,000.00
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Christopher Howard & Rhonda Howard
Name: James Allen MacDonald
Address: 228 Marina Dr.
Company: Miller Electric Company
City: Hutchinson Island State: FL
Zip Code: 34949 Fax:
Phone No. 904-591-0044
E -Mail: indcomss@gmail.com
Address: 6805 Southpoint Pkwy
City: Jacksonville State: FL
Zip Code: 32216 Fax: 904-389-8653
Phone No 904-388-8000
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail Permits@mecojax.com
State or County License EC13004703
Ir value oT Construction Is>ZbUU 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:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
COUNTY OF Daval
Address:
The forgoing instrument was acknowledged before me
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Type of Identification
Address:
Produced
(Signature of Notary Public-
�
City:
City:
CommissionNo.yZL3J7_?9
Notary
Zip: Phone:
,tJ� Public
Zip: Phone:
GregoryS
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."
ev.
Signature of as Agent for Owner
Sigtature of Contractor/License Holder
STATE OF FLO SIDA
STATE OF FLORIDA
COUNTY OF I)ij i%(f
COUNTY OF Daval
The for cWi g instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this M, dayof {1'AflCN 20M by
this 3rd day of March 2020 by
James Allen MacDonald
Name of person making statement.
Name of person making statement.
Personally Known _,X OR Produced Identification )d
Personally Known x OR Produced Identification
Type of Identification ,/
Type of Identification
Produce Sy % irix2OA
Produced
(Signature of Notary Public-
�
(Signature N Public- Sate o Florida)
Noiary b8c, State of Florida
CommissionNo.yZL3J7_?9
Notary
06/18/2021 YC pires08/18/21
,tJ� Public
tate or Florida SIO No. GG115582
GregoryS
alavt>Irr'
REVIEWS
FRONT
Expires OSH 023
ZONIN
GETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW REVIEW
EVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
March 6, 2020
St. Lucie County
Planning & Development Services
Building and Code Regulation Division
2300 Virginia Avenue,
Fort Pierce, FL 34982
MILLER ELECTRIC COMPANY
Powering the Possibilities
P.O. Dox 1799 (32201)
6805 Southpoint Parkway, Jacksonville FL 32216
LIMITED POWER OF ATTORNEY
I, James Allen MacDonald, Senior Vice President of Miller Electric Company, hereby make, constitute,
and appoint Richard C. Rewis a full-time employee of Miller Electric Company, as my agent.
I hereby grant give and grant unto my said agent full power and authority to act for me in any lawful way
with respect the following powers: to sign for, pick up, pay for, and request inspections for electrical
permits issued under my license for Miller Electric Company for the following location -specific project in
the State of Florida, City of Hutchinson Island: County of St Lucie
228 Marina Dr.
Hutchinson Island, FI 34949
James Allen MacDonald
Certified Electrical Contractor License # EC13004703
Witness 1:
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inted:—,M4C_Le
Witness 2: /
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Printed: 16 1,1J(SyS
State of Florida
County of Duval
The foregoing instrument was acknowledged before me this 6th day of March, 2020, by
James Allen MacDonald Senior Vice President, who is personally known to me.
Notary Frublic / State of Flori LISAK WHITE
My Commission Expires:
Fleury Public, State of florids
Niy Comm. Expires 06/18/21
commission No.6G115582
ATLANTA, GA I BIRMINGHAM, AL I CHARLOTTE, NC I COVINGTON, VAI DALLAS, TX I DEERFIELD BEACH, FL I GAINESVILLE, FL I
JACKSONVILLE, FL I LITTLE ROCK, AR I MELBOURNE, FL I MILWAUKEE, WI I NASHVILLE, TN I ORLANDO, FL I PHOENIX, AZ I RICHMOND, VA
TAMPA, FL I TEMPE, AZ
Toll Free: 800.554.4761 Fax: 904.389.8653
www.mecolax.com
Permit No.
State of Florida, County of St. Lucie
Property Tax ID No. .1 11.i-701 .j) ( 1-7 -tom' f D -C
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and address if available L`T v / Air -6., Couf. 64^0,,5eLeri Oat.
(Ltzzq-1c�)
General description of improvements
Owner/lessee L F
P-200 Address P-z
Interest in property:
7-31p5'-%31
Fee Simple Title holder (if other than owner)
Address
Contractor
Address
I'i
t% I. 2--713-11,7s
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Phone #_ gael- pG9-e v2
Surety
Phone #
Address
Fax #
Amount of Bond
Lender
Phone#
Address
Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues:
Name
Phone #
Address''
Fax #
In addition to.himself, owner designates
of
Phone # Fax #
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.7 i 3.13, F.S., AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
Grego Public StaftalyCorruniuksn av ll Florida
+j CRgory S Mahwol5. Owner/Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/ Signature
ryi V Swore 051IN023 X713
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Signatory's Title/Office
State of Florida, County of bVVjC I /
AWersonally
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.�oof Notary (Seal)
Title: Notary Public Commission Number 3
2/25/2020 15720.1peg
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