HomeMy WebLinkAboutBuildling permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/13/2020 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 Commercial Rd5sidential x
PERMIT TYPE: Electrical
PROPOSED IMPROVEMENT LOCATION: Main Breaker Panel
Address: 129 NE Airso Blvd, PSL
Property Tax ID #: 3419-560-0D02-000-0
Site Plan Name: Carolyn Smith
Project Name: Panel replacement
DETAILED DESCRIPTION OF WORK:
Replace Main Breaker Panel lice for like 150 Amp Breaker
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit –check all that apply:
—Mechanical — Gas Tank ,_,_,Gas Piping ,_,Shutters „Windows/Doors
J
Electric _ Plumbing _ Sprinklers _ Generator , Roof Pitch
Total Sq. Ft of Construction: Sq. Ft, of First Floor:
Cost of Construction: S 500 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
SmAh
!Jame: Thomas Paid
+ ddb 'ssj 1291 Airso Blvd.
Company: Bradford Electric Inc,
Citi: Po!��aq State:
Address: 1251 Jupiter Park Drive
_
Zip Code: 853: _ Fax:
City: Jupher State: FL
Aone,No. _
Zip Code: 33458 Fax: 561-747-0677
Phone No 561-747-0656
ilF In fge�lrpple Title Holder on next page ( If different
E -Mail tip@bradfordslectric.net
• 1l �
from:thL"bwner listed above]
State or County License EC 13003147
II taut VI LVIIiII Y411V1113 .1LJVY u1 mine, a nc%-unuru motfce or Lommencement Is requires,
If value of HVAC Is 57,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCF101Y LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:
Name: Name:
Address-. Address:
City:State: City:
Zip: Phone Zip: Phone: -
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:`
Not Applicable
t:e:
_ Not AppilcableBONDING COMPANY: Not Applicable
Name:_
Address:
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. t ucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Which is in con lict with any applicable Home Owners Association rukes, bylaws or and covenants that may restrict or prohibit such
structure. Please consuit 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 appficatfons 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-resldential use
"WARNING TO OiYNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINC
TWICE FOR IMPROVEMEMS' TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE TIRE FIRST INSPECTION. IF YOU INMO TO OBTAIN FINANCING, CONSULT
Wil YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCENFMT_"
Signature of oavner/ Lessee/CoT-tractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLOR A STATE OF FLORi
COUNTY OF COUNTY OF��,—
The forgoing instrument was acknowledged before me
this � day of titZ�by
Name of person making statement.
Personally Known A OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- Stdte of Norida )
Commission No. (Seal)
REVIEWS I FRONT ZONING
i
f COUNTER REVIEW
a Cori Rae Upton
My Commission GG 319585
Expires 04/0412023
The for Ging instrument was acknowledged before me
thisay of 1 2p�by
a
Name of person making statement.
Personafly Known )_ OR Produced Identification
Type of Identification
Producad ~ /f
(Signature of Notary Public- Slate of Florida j
Commission No,
SUPERVISOR I PLANSI VEGETATION j SEA TURT
REVIEW I REVIEW REVIEW I REVIEW