HomeMy WebLinkAboutT pole app-040320All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 2, 2020 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 10526 Oakbridge Court
CONTRACTOR:
Property Tax ID #: 1309-500-0006-000/8
Site Plan Name: Oakbridge S/D
Lot No.3
Block No.
Project Name: Travassos
Company: M.P. Richmond, Inc. DBA White Electric
DETAILED DESCRIPTION OF WORK:
City: Vero Beach State: FL
Zip Code: 32962 Fax: 772.562.140
Phone No 772.567.2642
Install temporary electrical service for construction.
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail info@whiteelectricvero.com
State or County LicenseEC13002005
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
Mechanical Gas Tank _ Gas Piping _ Shutters
x Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 300.00 Utilities: —Sewer —Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Frank M. & Doris E. Travassos
Name: Daniel Richmond
Address: 917 Pine Baugh Street
City: Rockledge State: _
Zip Code: 32955 Fax:
Phone No.
Company: M.P. Richmond, Inc. DBA White Electric
Address: 645 3rd Place
City: Vero Beach State: FL
Zip Code: 32962 Fax: 772.562.140
Phone No 772.567.2642
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail info@whiteelectricvero.com
State or County LicenseEC13002005
If value of construction is $2500 or more, a RLLORULD Notice or commencement is requires.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
�t[;Ltf. 4t��lil�'
OF COMMENC ENT.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 1 d 0 COUNTY
DESIGNER/ENGINEER:
x Not Applicable
OF ) nc1jam O VW
. ".._
MORTGAGE COMPANY:
X Not App licable
Name:
this 3rd day of 20-U by
dA rn D K&
Name:
Name of person making statement.
Address:
Personally Known / OR Produced Identification
Type of Identification
Address:
City:
State:
City: State:
Zip: Phone
(Signatiffe of No6fy Public- State of Florida)
Zip: Phone:
Commission No. (Seal)
FEE SIMPLE TITLE HOLDER:
— Not Applicable
FRONT
BONDING COMPANY:
Applicable
Name:
VEGETATION
SEA TURTLE
Name:
_Not
Address:
REVIEW
REVIEW
Address:
City:
REVIEW
City:
Zip: Phone:
DATE
Zip: Phone:
RECEIVED
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no y work or installation has commenced prior to the issuance of a permit.
St. Lucie
makes no
which is noconflictt with any applicable ion Homethat
Owners Associranting ation rules will aby bylaws or uthorize andpermit
covenants thaer t maytlrestr csubject
or proh bit 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 01
MARY ELIZABETH ROTT
Pp�P••. MARY ELIZABETH ROTT ;:"•'•
" Commission # GG 918519 Commission # GG 918519
Expires February 1. 21124 Expires February 1, 2024
`,.
OF COMMENC ENT.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 1 d 0 COUNTY
STATE OF FLORIDA
n li a.vt UP f
OF ) nc1jam O VW
The forgoing instrut was acknowledged before me
this day
ennnr
The for oing instrument was acknowledged before me
of 20 -?A2 by
this 3rd day of 20-U by
dA rn D K&
—,ILa f& C 1. M A0
Name of person making statement.
Name of person making statement.
Personally Known ol� OR Produced Identification
Personally Known / OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatiffe of No6fy Public- State of Florida)
(Signatu of Notary lic- State of Florida )
Commission No. (Seal)
Commission No. I Oo) 1 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
2
MARY ELIZABETH ROTT
Pp�P••. MARY ELIZABETH ROTT ;:"•'•
" Commission # GG 918519 Commission # GG 918519
Expires February 1. 21124 Expires February 1, 2024
`,.