HomeMy WebLinkAboutSLC.Permit APP.780 SE Prima Vista Blvd.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.: 07-27-2020 Permit Number:
M'.
O,
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FC 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 780 SE Prima Vista Blvd.
Property Tax ID tt: 8419-515-0192-000-8 Lot No. 3
Site Plan Name: Block No. 28
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace damaged riser; install new riser pipe, weatherhead & conductors
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: $ 900.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name East Prima Vista LLC Name: Joseph E Herndon Sr.
Address: 2816 22d Street Company: Joe's Electric of St Lucie Cnty., Inc.
City: Vero Beach State: f't- Address: 1206 Bell Avenue
Zip Code: 32060 Fax: City: Fort Pierce State: FL
Phone No. Zip Code. 34982 Fax:
E -Mail: Phone No 772 465-2363
Fill in fee simple Title Halder on next page (if different E -Mail loeselecstlucie@aol.com
from the Owner listed above) State or County License EG13007Z03
--.- - --•-�••+�.��•..+.. - -W r... a „�. WFAULU rvuuct! u1 s-urnmencemenz is requireu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION MEN LAW INFORMATION:
DESIGNER (ENGINEER: x Not Applicable
MORTGAGE COMPANY: X—Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
Al AIlk I Cn / w
rY l.L-nr a. wry a nm%. i un Arriuv i i : Hppiication 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 our Notice of Commencement.
ofZwnar/
as Agent for Owner + SignatujTof Co ractor/License
TE OF FLORIDA S TE OF FLORIDA
JNTY OF ` t �:r UNTY OF s uc-c-i -e
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
✓physical Presence or Online Notarization --- Physical Presence or Online Notarization
this day of ,y vc r �4 2020 by this day of-7)"If 1 J 2020 by
— –01, '1 tr S7,
Name of person making statement. Name of persCn making statement,
Personally known // OR Produced Identification
Type of Identification
Produced
(Signature of Noi'ary Public- State of Florida )
Commission
REVIEWS I FRONT_
COUNTER
BATE
RECEIVED
DATE
COMPLETED
Notoft4ic Slate of FWidA
Randolph McDaniel
My Commission GG 352355
REVIEW I REVIEW
Personally Known OR Produced identification
Type of Identification
Produced
XL,2/
(Signature of Notary Public- State of Florida )
Commission N
PLANS I VEGETATI
REVIEW REVIEW
Notary. FJftG$]ato of FWds
R and�lph McDaniel
M;r sammisgi.n GG 352355
REVIEW I REVIEW