HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
PERMIT TYPE: Electrical Alteration
PROPOSED IMPROVEMENT LOCATION:
Address- 4950 Southwind TRL Fort Pierce, FL 34951
Property Tax ID #: 1418-132-0015-000-0
Site Plan Name:
Project Name: Torrado EV Charger
DETAILED DESCRIPTION OF WORK:
Installation of 60A car charging circuit to main panel.
CONSTRUCTION INFORMATION:
Commercial Residential X
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ Utilities: _ Sewer _ Septic
Lot No._
Block No.
_ Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Fransisco Torrado
Name: Nicholas Armstrong
Address: 4950 Southwind TRL
Company: Tesla Energy Operations
City: Fort Pierce State:
Zip Code: 34951 Fax:
Phone No. (941) 350-4547
E -Mail: franjt20@gmail.com
Address: 8500 Parkline Blvd Ste 100
City: Orlando State.
Zip Code: 32809 Fax:
Phone No 407-419-1036
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail orlandopic@tesla.com
State or County License EC13006226
If value of construction Is $ZWU or more, a RECURUtU Notice or cu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
GINEER: _ Not Applica
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
BONDING COMPANY
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
tate:
Not Applicable
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 OPAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEAMEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 1A'a' 1 c',R_, COUNTY OF
The erg I g instrument was acknowledged before me The forg Ing instrument was acknowledged before me
this ay of !MG i- 201D by this May of Ma-i'Ti{1 2017by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
.n.
(Signature 6f Notary Public- State of
Commission No.
REVIEWS I FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
KASEY 1A #ure Not Public-Stateof 11 11,; OR
State of Florida Notary Public + :State of Florida- y Publi
Commission # PM149323
Commission Z6rh#1Q?ibno. My Commissi xpires
My Commis ion Expires "%%na,r October 0 . 021
October 08, 2021
SUPERVISORPLANS I VEGETATION I SEATURTLE I MANGROVE
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