HomeMy WebLinkAboutHEADER CANAL POWER POLE PERMIT20200528_13550307All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 28, 2020
Permit Number:
i ELL] Erc
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 595 North Header Canal Road, Fort Pierce, FL
Property Tax ID #: 2211-111-0003-000-6
Site Plan Name:
Project Name: Header Canal Power Pole
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Replacing existing pole that caught fire. Installing 200 amp single phase 240 volt electrical meter panel combo with main breaker for
(1) 10" round by 20 ft. pressure treated wood power pole. Install (1) 200 amp single phase 2 electrical riser & 3/0 copper wire.
Install electrical grounding system with (2) ground rods per code. Install (1) w.p. GFCI receptacle for general use.
New Electrical Meter X Second Electrical Meter
I CONSTRUCTION INFORMATION: __J
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,285.00
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Larry L. Adair (TR)
Name: Michael Pride
Address: 9715 w. Broward Boulevard, #303
Company: Pride Electrical Services
City: Plantation State: _
Zip Code: 33324 Fax:
Phone No.
Address:843 S. Kings Highway, 203-B
City: Fort Pierce State: FL
Zip Code: 34945 Fax: 772-461-2778
Phone No 772-461-2777
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail mike@pride-electrical.com betty@pride-electrical.com
State or County License EC1300-5859 SLC 29875
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attOrrtev before commencing work or recording your bletice Co mencement.
SigrfafuTe of Owner/ Le /Contractor as Agent for Owner
Sig at re of Con ractor/Lic a Holder
STATE OF FLORIDA I
STATE OF FLORIDA
COUNTY OF S-t L_ Lt C I
COUNTY OF Sf L- t- C I S.
Sworn to (or affirmed) and subscribed before me of
S!f5T to (or affirmed) and subscribed before me
✓
of
r Physical Presence or _ Online Notarization
Physical Presence or _ Online Notarization
thisZ9 day of nn ftY 2020 by
this 2 FCday of rn a y 2020 by
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Commission No. .za-ios� (Seal)
Commission No.�tiC7 (Seal)
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Rev.5/6/20