HomeMy WebLinkAboutPERMIT APPLICATION WILSON RESIDENCE20200608_10542001All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/8/2020 Permit Number:
�) -UCLA.
' `� _ Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 9431 Poinciana Court Fort Pierce, FL
Property Tax ID p: 1334-503-0039-000-5
Site Plan Name:
Project Name: Wilson residence
X
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Install new electrical feed to air conditioner.
New Electrical Meter Second Electrical
CONSTRUCTION INFORMATION:
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: $ 550.00
Sq. Ft. of First Floor:
Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard Wilson
Name: Michael Pride
Address: 9431 Poinciana Court
Company: Pride Electrical Services of FI Inc
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No.
Address: 843 South Kings Highway 1022-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-electdcal.com betty@pride-electrical.com
State or County License EC1300-5859 SLC 29875
If value of construction is 2500 or more, a RECORDED Notice or commencement rs regwrea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Address:
City:
Zip: Phone:
BONDING COMPANY: =Not Applicable
Name:
Address:
r"
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.
I n 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 pos( ..o..F�the jobsite before the first inspection. If you intend t am financing, consult
..,;N. Inndnr nr �.. �tr.afnro rnmmanrino wnrlc nr rnrnrdina vour Notice o Cf encement.
re of Owner/ see/Contractor as Agent for Owner
Signafdrd of Contractor/L ce a Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF st �
COU NTY OF sr
Swo to (or affirmed) and subscribed before me of
sical PreseAce or _ Online Notarization
this day of Ut 2020 by
N.K�XJ�
Swor o (or affirmed) and subscribed before me of
ysical Prese or Online Notarization
this dda'y of J 2020 by
e v r
Name of person making statement. Anim
Name of person making statement.
Personally Known �OR Produced Identifica
Type of Identification ur z p
P duce y o rI
(Signature of Notary Public- State of Florida) os
CC 87 (Seal)
Commission No. '1'la2 �Z � � n �
Personally Known V_1� OR Produced Identificati
Type of Identification m ct v, z
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(Signature of Notary Public- State of Florida ) 4r m� ion
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Commission No. ��— (Seal) �' 8
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 576720