HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/07/2020 Permit Number:
9U. LLC[IE
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
Commercial Residential x
PERMIT APPLICATION FOR:ElectrICal
PROPOSED IMPROVEMENT LOCATION:
Add ress: 9440 Meadowoods Dr Apt 101, Ft Pierce, FL. 34951
Property Tax ID #: 1327-703-0013-000-9
Site Plan Name:
Project Name: Quail Run Village Bldg 2 Unit 101
DETAILED DESCRIPTION OF WORK:
Like for like 150 amp panel change
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 T Sprinklers
Total Sq. Ft of Construction:.
Cost of Construction: $ 1900
Generator
Sq. Ft. of First Floor:
Lot No.—
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Elizabeth B Terry
Name: Brian Stott
Company:Stott Brothers Electric
Address: 9440 Meadowood Drive Apt 101
City: Fort fierce State: _
Zip Code: 34951 Fax:
Phone No.
E -Mail:
Address: 385 NE Glentry Avenue
City: Port St Lucie State: FL
Zip Code: 34983 Fax:
Phone N0772-408-4911
E -Mail stottbrotherselectdc@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License ER1 3015522
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:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
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 thepermit 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 Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF COUNTY OFORID STATE OF I COUNTY OFORIDA��_�
Sworn to (or affirmed) and subscribed before me of
Physical Presen or Online Notarization
this day of 1 i 2020 by
{-� ck►flr
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Name of person making statement.
Personally Known 7"�4 OR Produced Identification
Type of identification
NARY "It Nalary Pubirc Si a of Florid,
o ': �kOM�
v a y omi Bran 779677
Expires X112812022
Sworn to (or affirmed) and subscribed before me of
Physical Pre a ,or Online Notarization
this � day of 1 I 2020 by
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
(Signature of Notary Public- State of Florida )
Commission No.°SGn;,
a Nn18ry Public State Ol FjarrG
Katherine Caldem
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