HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/23/20 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electric
PROPOSED IMPROVEMENT LOCATION:
Address: 13303 ORANGE AVE
Property Tax ID #: 2308-312-0003-000-0
Site Plan Name:
Residential X
Project Name:
DETAILED DESCRIPTION OF WORK:
rebuild freestanding weatherproof electric service and change from overhead to underground
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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:.
Cost of Construction: $ 2000
Generator
Sq. Ft. of First Floor:
Lot No._
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAnthony Oakes
Name: Daniel Stubbs
Address: 718 SE Adams CT
Company:S&W Electric
City: Port st. lucie State: _
Zip Code: 34984 Fax:
Phone No. 7723703095
Address: 501 W Coker rd
City: Ft.Pierce State: fl
Zip Code: 34945 Fax: 7724644273
Phone N07722017320
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail danstubbs33@gmail.com
State or County License 30071
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: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING 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. 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 attornev before commencing work or recording our Notice of Commencement.
Signature of 0 er Lessee/Contractor as Agent for Owner
Signature of Co ractor/License Holder
STATE OF FLORIDA -
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STATE OF FLORIDA Lu
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COUNTY OF f3i . -Li C -t e-
COUNTY OF
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to (or affirmed) and subscribed before me of
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Physical Presence or Online Notarization
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this day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Know OR Produced Identification
Personally Known OR Produced Identification
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