HomeMy WebLinkAboutSLC.Permit APP.Adkins Residence.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07-28-2020 Permit Number:
0
r Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commel'Cis
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 2007 Totten Road
Residential X
Property Tax ID It: 2417-332-0014-000-7 Lot No.
Site Pian Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Repair 150Amp Electrical Service damaged by falling tree. Replace damaged equipment with new meter socket &
underground feed from Fort Pierce Utility Authority.
New Electrical Meter X 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: $ 1800.00
Generator
Sq. Ft, of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Danny E & Cheryl C Adkins
Name: Joseph E Herndon Sr.
Address: 9821 Urgnge Avenue
Company: Joe's Electric of St Lucie Cnty., Inc.
City: Fort Pierce State:
Zip Code: 34945 Fax:
Phone No. 772 528-2815 ( Son - Danny Adkins)
Address: 1206 Bell Avenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No 772 465-2363
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner iisted above)
E -Mail joeselecstlucie@aol.com
5tate or County License EC13007203
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.
SUPPLEMENTAL CONSTRUCTION LIEN.LAW-INFORMATI, W
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY:
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone;
x Not Applicable
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 thepermit holder to build the su bject structu re
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.
- - Z)o t $--. A 7 �' t �
Signa a of wnerj Les ee/ ontractor as Agent far Owner
Signet of Co Tactor/License alder
ATE OF FLORIDA
S TE OF FLORIDA
UNTY 0 Lei
OUNTY OF c �:r
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 a day of _3'&j I Le , 2020 by
this _21 day/of a: jam' i , y 2020 by
Name of person making statement.
Name of person making statement.
Personally Known _� OR Produced Identification
Personally KnownOR Produced identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of IV tary Public- State of Florida)
(Signature of Notfry Public- State of Florida j
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