HomeMy WebLinkAboutBuilding Permit AkpplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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
PROPOSED IMPROVEMENT LOCATION:
Address: 7001 BELLEAIR AVE
Property Tax ID #: 1301-611-0145-000-1
Site Plan Name:
Project Name:
Permit Number:
Building Permit Application
Commercial Residential X
Lot No. 10
Block No. 107
I DETAILED DESCRIPTION OF WORK: I
BREAKER PANEL CHANGE OUT LIKE FOR LIKE - 150 AMPS 30 CIRCUIT MAIN BREAKER PANEL
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. $ 2,200.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTara O'Shea
Name: PAUL ROMANO
Address: 7001 Belleair AVE
Company:AAPEX ELECTRIC INC
City: Fort Pierce State: 71
Zip Code: 34951 Fax:
Phone No. 772.204.1540
Address: 561 SW BILTMORE STREET
City: PORT ST LUCIE State: FL
Zip Code: 34983 Fax:
Phone No 772.607.9494
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailAAPEXELECTRIC@YAHOO.COM
State or County License EC1 3009343
it value of construction is �Z500 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: 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:
City:
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 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."
Rev. 2/ i/ ly
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 14TH day of APRILZo by
this 14 day of APRIL , 20 ZrD by
PAUL ROMANO
PAUL ROMANO
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
• i�� pie JAIME L HARNER
JAIME L HARNER
(S nature of Notary Public- 5t b i 089122
(ignature of Notary Public-,t1myowNWION#GG 089122
m o� EXPIRES: April 2, 2021
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aP \ir EXPIRES: Apn12, 2021
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Commission No GG08s1zz B-40PaJPudge(NOWNS-Am
Commission No. ccoeslzz Ba>d T�r��udgetNotaryServices
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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REVIEW
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 2/ i/ ly