HomeMy WebLinkAboutPermit App - St. Lucie07072020115328AIIAPPTICAB[E INFO MUST BE COMPTETED FOR APPTICATION TO BE ACCEPTEO
Date:Permit Number:
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LUG[E
v Building Permit Application
Planning and Development SeMkes
Building ond Code Regulotion DMslon
23(n Virginlo Avenue, Fon Pierce FL U 2
Phonet 17721 462-7553 Fax (7721462-1578
Commercial X Residential
Address: Mile Ma*er 144, Flodda Tumpike, Pod St. Lucio, FL 34984
Property Tax lD f:county parcel lD 3,l3l -122-0001-000-5 FPID ,[22418-s52-0I Lot No._
Block No.Site Plan Name:
Project Name. FPL EV Fast Charg€rs
lnstallation ol (l) Utilily Transformer, (1)NB Siation, and (6) Electric Vehicle (EV) Charge Posts with associated utility equipment
ln existing Pa*lng Lot
New Electrical Meter second Electrical Meter
Addltlonal work to be performed under this permit - check all that apply:
-Mechanical -
Gas Tank - Gas Piping -Shuttels -
windows/Doors
-
Pond
)L Electrlc -
Plumbing -sprlnklers -Generator -Roof
-
Pltch
Total sq. Ft of constructlon: ............- sq. Ft, of Flrst Floot:
-
cost of Construction: S q$.34 a-9_LJtilities: _sewer -
Septic Building HeiSht:
-
lfvalue of construction b 25OO or more, a RECORDED Notice of Commencement is requlred.
lfvalue of HAVC ls 57,500 or morc, a RECoRDED Notlce of Commencement is requlred.
PERMITAPPLICATIoN FoR: pike Electric, LLC
LLc James Everidge Banner
State: NC
6-y"1; mpeele@plke.com
EC13003722State or County [icense
Fax:336-793-9970zip666s.27030
Phone No 336-789-217-l
City:Mount Airy
Compa
. 100 Pike way
Pike Elecl,ic,
Pike Elactric, LLC
State: EL
Name Florida Power Liohl
City:Juno Beach
Address
Zip Code : 33408
700 Universe Blvd
Phone No 267 -27 1-8599
OBTDT.
I PROPOSED IMPROVEMENT LOCATION:
CONSTRUCTION INFORMATION:
DETAILED DESCRIPTION OF WORK:
OWNER/LESSEE:CONTRACTOR:
E-Mail', paul.rnonism@nexter*mrov.com
Fill ln fee slmple Title Holder on next pate ( if different
from the Owner listed above)
Name of prrson makin! sEltanenl
P.rsonally Known -4 oi Produced
Typ€ of ldentmca$qn
,l
Holder
ofPubllc-ol
t0 +
COUNTY OF
.^D \JBV\O
C
(Seal
oF Fl.oxlgA l'r c
P.oduced
l'aH s
st6
GG
M KAHMAN
Commlsslon Ex
Persondly xnoxln ----:-- OR Produccd ldmdfica&n
a3 &ent for Ownet
comml55lon No,
COUNW OF
-d*H of
,,lu u
Sltnalure of Owner/
STATE OF
sworn to (or affirmed) and before me of
Online Notarizatlon
2020 by
of person mallng fit€ment
Type of
Produccd
/
MANGROVE
REVIEW
VEGETAIION
REVIEW
PTANS
REVIEW
SUPERVISOR
REVIEW
zoNtN6
REVIEW
E_--
FRONT
COUNTER
REVIEWS
DATE
D
DATE
COMPTETED
Address:
-
City: State:-
Name
Zp:
-
Phon
DESIGNER/ENGINEEE:
Name:
_ Not Applicable
State: _City:
Zip: _ Ph
Address:
BONDING COMPANY:
-Not
APPllcable
Address:
-
zip:Phone
Na
FEE SIMPLE TITLE HOLDER3
-
Not Appllcable
Address:_Name
@IE@ EE[
OWNER/ GONTRACrOR AFFIDVIT: Appttca on ls herebv madc to obtlln s prmlt to do the work end lnstellaton .s lndlcatld.
I ccrtlly that no work or lrutallatlon har cosuncnced ptlor to tt. ls$ancc of a plrmlL
illlHilli$ffi f irf,"sffi"r#!ffiffi$$#Hi#,ffi'ffi fiffi #fi ilI$i'S#,ffi
'fl
ltntffi
ln con5ldlratlon of the Srandn8 of thls tcqucrtEd pemlt I do heleby alrc€ thd I wnl, ln .ll niPects-, p€rform rhe wo(k
ln accordance with thc ipprond plans, thc Florldi Bulldlng cod€s ,nd St Lud. County Amcndmmts'
Thclollowlng bulldlng permlt apPllcztlon3 arc er(empt lrom undcttplng a fullconorrcncy revhw: roqr 'dddons -,,,-
acccssory structrcs, sltmmlng pools, fencrl wa[5 sbn5, tcrrcn tooms and acccrsoty u5€J to lnoolCr norH6l6en!1 use
WARNIN 6 TO OWN ER:Your failure to Rccord a Nodc€ot Commencement may result ln paylng
In the
twlce lor
A Noti ce of Com mencement must be re corded publlc
ln flna
records of st.
Jobslte before the fl rst lf yoy lnte nd to obta nclng,consult
cl or reco r ce of
SEA TURNE
REVIEW
MoRTGAGE COMPA[!!Y;
-
Not Appllcable
Clty:-
Apz
-Phone:_.==..--
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