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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/10/2020 Permit Number: ,l 0 0U!_ 0(4'-,7 C;
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential yes
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Electrical Service Meter/Main Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 9755 Gumbo Limbo Ln(Savannas Preserve State Park property)
Property Tax ID#: y h C.' `,_3 �+S ?fo.., .Q�0^ -� _ t No.
Site Plan Name: Block No.
Project Name: Electrical Service Meter/Main Replacement
DETAILED DESCRIPTION OF WORK:
Replace the existing deteriorated pole mounted 150A meter/main serving the park ranger's residence with a
new 150A meter/main.
New Electrical Meter Second Electrical Meter
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: Sq. Ft. of First Floor:
Cost of Construction: $ 2150,00 Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR;
Name State of Florida(Paul Milette BL130089) Name:Kenneth A Geremia Jr.
Address:3800 Commonwealth Blvd Company:Gerelco Electrical Contractors, Inc.
City: Tallahassee State:_ Address:560 NW Enterprise Dr
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Zip Code: 32399 Fax: City: Port St Lucie State:FL
Phone No.772-607-0151 Zip Code: 34986 Fax: 772-340-7475
E-Mail: paul.milette@floridadep.gov Phone No772-201-2194
Fill in fee simple Title Holder on next page(if different E-Mail sblackford@gerelco.com
from the Owner listed above) State or County License EC13003415
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.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: ^ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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 attorney before commencing work or recording your Notice of C#Mmencement.
Signature oApwner/L4ssee/Contractor as Agent for Owner Signature of Con aft6r/Ucense 94r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5+- COUNTY OF zlk - L"cA.,r,
Sworg to(or affirmed)and subscribed before me of Sworn tp(or affirmed)and subscribed before me of
w'Physical Presence or Online Notarization 41$ysical Presence or Online Notarization
this inaY Of JL4-,A, 2020 by this�day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification
Type of Identi cation Type of Identification
ftodveed�, Produced
Notary PUblic-
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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