HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4128I2020
Planning and Development5emlces
Building and Code Regulation Division
2300 Virginia. Avenue, Fart Pierce FL 34982
Phone; (772) 4624553 Fax: (712) 4624578
Permit Number:
B
uilding Permit Application
Commercial Residential x
PERMIT TYPE: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address; 32-t Lv.muni- i OGLcL , F} Pi erne, AFL 3' 941
PropertyTaxIDIt: — Lot No.
Site Plan Name:
Project Name: Electrical Service
DETAILED DESCRIPTION OF WORK:
Replace 200 amp single phase service, New meter and panel
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechahical
_Gas Tank
_Gas Piping
_Shutters
_Electric
_Plumbing
_sprinklers
_Generator
Total sq. Ft of Construction:
Cost of Construction: $ 2,230.00
5q, Ft. of First Floor: _
Utilities: _Sewer _Septic
Block No,
_Windows/Doors
_ Roof Pitch
Building Height;
OWNERJLESSEE:
CONTRACTOR:
Name OUi litr $r�Jesknlv��er\(s LLG
Name: Thomas E.Granims
Address: o14300 S§O,te K- oCL (z0
Company: Paragon Electric of Vero, Inc
City: VQru i3eL.-L;% State:
Zip Code;3a)lola Fax:
Phone No. ri7 ,- 4 73. JM09
Address:9129 16th Place
City; Vero Beach StatewFL
Zip Code: 32966 Fax: 772 299 5167
Phone N0772 569 8961
E-Mall: SU Sttafa
l5 (? RMC(4,con
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mall peragonelectric@bellsouth.net
State or County LicenseEC0002131 12333
If value of construction I5 $2500 or more, a RECORDED Notice of Commencement Is required.
If value of HVAC Is $7,500 or more, a REGARDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address; Address:
City: State:_ City: State;
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: � Not Applicable � BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip; Phone:
Address:
City:
tip: 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 Counri makes no represent tion that is granting a permlt %11 authorize the ermit holdeff to build the subject structure
which Is In conflict with any appllcab�e Home Owners Association rules, bylaws or anrJ covenants tnat 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
is 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 LENDEIR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE 9F COMMENCEMENT."
Rev.
t
S nature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Llcense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF-T,,,(,
COUNTY OF TYY, zinc
The forgoing Instrum nt was acknowledged before me
The forgoing Instrument was acknowledged before me
this 2, y day of y . 20AP by
7J"1���"
this 2, day of AaA / , 207a by
7���.r � �•
Name of person making statement.
Name of person making statement,
Personally Known Produced Identification
Personally Known OR Produced Identification
—,K_OR
Type of Identification
Type of Identification
Produced
Produced
tOVA
` gc'µ� �BUBAN HARRig
�p,t^ve
;...,.r� SUSAN rIpRRI
K_'ls
�c�y�
Signo re o Notary atary Public -State Ffl 60107It5510pA'GG
EXPIRES:
nature of Notary Public -State of f� EXPIRES; MeyYO,
May 2o,
eRpySV
Commission No. `Ser �ei�t NOINY
1 Of Ft;eo BpMall ttYx 8l102aI Noto
mission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED