HomeMy WebLinkAboutA-1Truss corrected Temp pole permit app-072120All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 20, 2020 Permit Number:
Luf CUE
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Temporary power for construction trailer
PROPOSED IMPROVEMENT LOCATION:
Address: 4451 St. Lucie Blvd. Fort Pierce, FL 34946
Property Tax ID #: 1431-110-0000-000-5
Site Plan Name: A-1 Truss Maintenance Building Project
Project Name: A-1 Truss Maintenance Building Project
DETAILED DESCRIPTION OF WORK.
Install a temporary power pole to power the construction office trailer for the duration of project.
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: $ 700.00
Generator
Sq. Ft. of First Floor:
M.%dC.a
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE
CONTRACTOR:
NameJohn Herring
Name: Daniel S. Richmond
Address:4451 St. Lucie Blvd.
Company: WHITE ELECTRIC
City: Fort Pierce State: L
Zip Code: 34960 Fax:
Phone No.772.398.9725
Address: 645 3rd Place
City: Vero Beach State: FL
Zip Code: 32962 Fax: 772.562.1410
Phone No 772.567.2642
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail info@whiteelectricvero.com
State or County License EC13002005/22782
n vdlue or wnsiruction is zDuu or more, a KrLUKutu NOVC9 of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of C mmencement is required.
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DESIGNER/ENGINEER. Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
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 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 11`11_0�t1113,
STATE OF FLORIDA
COUNTYOF Irlatc(A
COUNTY OF I n d ( j2 In VJ vu,
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
hysical Presence or Online Notarization
Islay of 7ru JAA 2020 by
fl Al
Physical Presence pr Online Notarization
this )IoIM day of J 0,AAA 2020 by
91
me of person making statement.
Name of person making statement.
sonally Known OR Produced Identification
Personally Known OR Produced Identification
e of Identification
Type of Identification
"5
cluced
Produced
h2dL4'
Pft ignatu of Notary lic- State of Florida
(Sign--atu&4 of Notary ffblic- State of Florida
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m mission No. &C, 0[ 195- (Seal)
Commission NoA 6 C[ I 'S (Seal)
0:
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
T
J
Rev. 5/6/20