HomeMy WebLinkAboutJenkins Electric Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION
Date:
BE ACCEPTED
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
PERMIT APPLICATION FOR: Electric
Commercial
PROPOSED IMPROVEMENT LOCATION:
Address: 2204 Grand Oak Ave
Property Tax ID #: 3404-710-0040-000-1
Site Plan Name: Jenkins
Project Name: Jenkins
DETAILED DESCRIPTION OF WORK:
Install 2 new dedicated 20AMP GFCI circuits for walk in tub
New Electrical Meter Second Electrical Meter
� CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all thz t apply:
—Mechanical _ Gas Tank _ Gas Piping _ 5 tutters
_ Electric _ Plumbing — Sprinklers Senerator
Total Sq. Ft of Construction:
Cost of Construction: $ 700.00
Sq. Ft.
Utilities:
Residential X
Lot No.35
Block No.
Windows/Doors Pond
Roof Pitch
First Floor:
+ver _ Septic
Building Height:
OWNER/LESSEE:
CON
RACTOR:
Name Michael Jenkins
Name:
Com
Address-
City:
Zip Code:
Phone
E-Mai
State
John C Center
Address:2204 Grand Oak Ave
ny: Boston Electric
City: Fort Pierce State:
Zip Code: 34981 Fax:
Phone No. 772-461-8762
101 NW 8th PL
Boynton Beach State: FL
33426 Fax:
N0561-570-7788
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
I bostonpermits@gmaii.com
or County License EC13008281
11 vajuv U1 WFMFUCAWn 15 ow Or more, a Kt(_UKUtU Notice Or Lommen ement is required.
menceme
If value of HAVC is $7,500 or more, a RECORDED Notice of Comt is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER (ENGINEER: _ _ Not Applicable
Name:
MO
Na
Address:
City:
Zip:
tTGAGE COMPANY: Not Applicable
e:
Address:
City: State:
Zip: Phone
State:
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING
Name;
Address:
City:
Zip:
COMPANY: Not Applicable
Address:
City:
Zip: Phone:
Phone:
UV11IV tK/ LUIM I KAL I UK AI-IIUVI I: Application is hereby made to iiii btain 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, b Vlaws 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 agr a 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
accessory structures, swimming pools, fences, walls, signs, screen rooms
WARNING TO OWNER: Your failure to Record a Notice of Comr
improvements to your property. A Notice of Commencer
Lucie County and posted on the jobsite before the first in
with lender or an attorney before commencing work or r
i � \
Signature of Ow r Lessee AL tractor as Agent for Owner 12��
I
STATE OF FLORIDA
COUNTY OF Palm Beach
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 2 day of June 2020 by
Michael Jenkins
Name of person making statement.
Personally Known x ,�,oduW,
Type of Identification +F '� Amanda Simone
Produced j my commission GG 927928
Exanes 1 0r30=23
full concurrency review: room additions,
ind accessory uses to another non-residential use
ancement may result in paying twice for
ent must be recorded in the public records of St.
section. If you intend to obtain financing, consult
:ording your Notice of Commencement.
of
STATE OF FLORtDA
COUNTY OF Palm Beach
Holder
Swor to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 2 day of June 2020 by
John Genter
NaME of person making statement.
Personally Known x OR P
Type of Identification b" Notary Public state of
Prod ed 'p 1 Amanda Simone
My Commission GG 9
au a Expires 1013012023
(Signature of Notary Public- State of lorida (Sign tur of Notary Public- State o Florida )
Commission No. GG927928 Seal \
( ) Cam ission No. GG927928 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLA S VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIE REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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