HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/11/2020 Permit Number:
TUU N 1 Y 02
H 1 1) A -
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Electrica I
PROPOSED IMPROVEMENT LOCATION:
Building Permit Application
Commercial X Residential
Address: 4870 N Kings Highway, FT. Pierce, FL 34951
Property Tax ID #:
Site Plan Name:
Project Name: Winn Dixie Condenser Replacement
DETAILED DESCRIPTION OF WORK:
Replace electrical disconnects on four condensers to be replaced.
CONSTRUCTION INFORMATION:
Lot No.—
Block No.
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank Gas Piping _ Shutters Windows/Doors
Electric _ Plumbing _ Sprinklers Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 1700.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Winn Dixie
Name: Timohty Alan Arft
Address:4870 N Kings Highway
Company:Arft's Electric Inc.
City: Ft. Pierce State: _
Zip Code: 34951 Fax:
Phone No.
Address: 979 Big Oaks Drive
City: Oviedo State: FC
Zip Code: 32765 Fax:
Phone No 321-228-4629
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail Tim@arftelectric.com
State or County License EC13003515 CC# 31703
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRICTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE: COMPANY:
Name: Name:
Address Address:
I City: State: City:
Zip: Phone Zip:_ Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Gill eSCM8107 INGR,O CROSSAG, 5
Address: 311 PARK PLACE B: Vn SUITE 600
City: CLEARWATER. FL
Zip: 33759 Phone; 9e4-453-6052
T Not Applicable
State:
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 Assoc•atson rules, bylaws or and covenants that may re trict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions whi 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 YOUR PAYING
TWICE FOR PROYE�MENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED Ofll }HE JO- SITE IREFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOU* LiNDERN AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
signature of Owner/ Lessee/Corsrecto nt for Owner
STATE OF FLORIDA
COUNTY OF ou— ti 1
The fng instrument was acknowledged before me
this ay of 14%RUr 2o2O by
Briar. Camey
Name of person making statement.
Persona4ly Known xxxx Cldttpp d IdeWill
t�a
Type of identification`s 19Zb51
Produced NIA =« xApd 17, 2M
®011dld Wu Aum Ill
t
gr,ature of Notary Public- State of Florida
Commission No. GG 192659 (Seal)
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature
Holder
STATE OF FLORIDA j
COUNTY OF elri'1 I ri Q f
The fpr. instrum t was acknowledged before me
this _l -day of . 20JA0 by
Name of person making katement,
Personally Known OR Produced Identification
Type of Identification
Produced
�flY,LJ
(Signature of Notary pu)bllic- St'd
Commission No.
Sz O
SUPERVISOR I PLANS d VEGETATION SEA TURTLE �i
REVIEW REVIEW REVIEW REVIEW I REVIEW