HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
. Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: g ) b0),
Property Tax lD #: ` Lot No -
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
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:
Cost of Construction: $ 14 7
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name �L 4fi � (U�1c�U
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Name: E r-I' C_ LC c1t,Sl�
E"C v,
Address: 1200 H V' 6 U�
C, 4 City:
: � �CA E �
Zip Code: 3Li 9461 Fax:
Phone No.
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State: L
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Company: `P` A U 4-
Address: c�
City: �=� j`� Ptf'�-�-
Zip Code: �Fax:
Phone No�(-
state: E
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail '\'rm� tAG e I
State or County License F c 13 co
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.
311
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY- _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 attowev before commencine work or recording? vwr Notice of Commencement.
Signature of Owner/ Lesse /Contractor as Agent for Owner Signature of Contra ctor/Licens older
STATE OF FLORIDA�
COUNTY OF
Sworn to (or affirmed) and subscribed before me o
Physical Prese ce or Online Notarizati
this day of 2020 by
a"���NO`�
a
n..
Name of person making state ent.
o y
Personally Known OR Produced Identifica
n E3 r
05 �.
Type of identification
4 o m
Produced
N �'< m
a
(Signature of Notary PAIic- State of Florida )
Commission No. I f1) 64S (Seal)
STATE OF FLORIDA S ��
COUNTY OF J
Sworn to (or affirmed) and subscribed before me of
-Physical Presen a qr Online Notarization
this I2lay of 'JUl, 2020 by
Name of person making statement.
Personally Known OR Produced Identifi
Type of Identification
Produced
(Signature of Notary Pug ic- State of Florida )
Commission No. ��� (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
Mile Lake Village
CIO Harbour Ridge POA
12600 Harbour Ridge Blvd
Palm City, FL 34990
3504 Fontaneda Ave.
Ft, Pierce, FI 34947
Phone# 772466-0500
Fax# 772-466-0590
wirenutzinc cr aoLcom
www.wirenutzinc.com
RE: Mile Lake Village
Cart Barn
Electrical Panel
1) Acquire a Saint Lucie County permit and schedule an electrical
inspection.
2) Coordinate with FPL for electrical disconnect and reconnect.
3) Remove existing 200 amp, 40 circuit panel and breakers.
4) Supply and install a new 42 circuit panel and all new breakers.
5) Terminate all electrical connections and hotcheck
Proposal
DIDIAT ►•ION(I
Qty. $Ihr Total
********* 1,476.00
Total Estimated Amount $1,476.00
Authorized Signature
On be alf of the Mile Lake Board