HomeMy WebLinkAboutCinquegrani Electrical PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/03/2020
COUNTY
F L Q R C D A
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
3
PROPOSED IMPROVEMENT LOCATION:
Address: 12094 NW HARBOUR RIDGE BLVD
Property Tax ID ##: 4426-804-0032-000-1
Site Plan Name: N/A
Permit Number:
Building Permit Application
Commercial Residential x
Project Name: CINQUEGRANI FPL DOWN RISER REPLACEMENT
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
SHUT DOWN POWER WITH fpl AND REPLACE RUSTED OUT 2" DOWN RISER TO SCHEDULE 80 PVC
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 3051
Cost of Construction: $ 1200.00
Gas Piping
— Sprinklers
Shutters
Generator
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
NameHELEN CINQUEGRANI
Name:JAMES REISNER
Address:12094 NW HARBOUR RIDGE BLVD
Company:JIM REISNER ELECTRIC, LLC
City: PALM CITY, FL State: _
Zip Code: 34990 Fax:
Phone No.1-(303) 881-9377
Address:4886 SW HONEY TER
City: PALM CITY State: FL
Zip Code: 34990 Fax:
Phone No 772-260-0732
E-Mail:jeffdevl@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailiamesreisner@bellsouth.net
State or County License EC-0002442
If value of construction is $2500 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:
Zip: Phone:
City:
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 YOU"OTICE OF COMMENCEMENT.-
Sig ure of Owner/ Lessee/Contractor as Agent for Owner
Sign e'of Contractor/License Holde
S ATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �Y�-ih
COUNTY OF Ak(.. VA
The forgoing instrument was acknowledged before me
this alday of )21c 20 by
The forgoing instrument was acknowledged before me
this day of r 1� ram, 20 by
Name of person making statement_
Name of person making statement.
Personally Known OR Produced Identification
Personally Knowny OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Pu lic- State o ida
// MEL1TTA L U
Commission No. C� G"'� 1 � I�}�
My COMMISSION #
At.X,� µ EXPIRES December
(Signature of Notary Public- S f I ida
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{�p�p�t ission No. J deal
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15, 202U
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Rev. 2/7/ 19