HomeMy WebLinkAboutMain Street Village Pantry Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07-29-2020 Permit Number:
Building Permit Application
Planning and development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial X Residential
PERMIT APPLICATION FOR: Temporary electrical Service
PROPOSED IMPROVEMENT LOCATION:
Address: 8490 Commerce Centre Dr.
Property Tax ID #: 8327-803-0003-000-9
Site Plan Name: NFA Solutions
Project Name: Main street Village Pantry
Lot No. B
Block No.
I DETAILED DESCRIPTION OF WORK:
Installing a temporary underground 100 amp electrical service, with a 100 amp circuit to remediation trailer.
New Electrical Meter Yes Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Mechanical G T k
as an _ Gas Piping
_ Shutters _ Windows/Doors Pond
Electric Plumbing Sprinklers
_ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 3,150.00 Utilities:
_Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name � =rZ C
Name:3ames Murray
Address: 1� 1� n�; ci'
Company:Go Local Electric LLC
City: kl State -f-(
Address: 670 Se. Monterey rd.
Zip Code:3 L�CJCA L-4 F x:
City: Stuart State: Fi
Phone No.
Zip Code: 34994 Fax: N/a
E -Mail:
Phone No 772-237-2351
Fill in fee simple Title Holder on next page { if different
E -Mail info@golocalelectric.com
from the Owner listed above)
State or County License ER13015152
If value of rnnc*riirfinn is )rnn .,r ..... nr.-nnr.rr. .
W1 �W1111AMFILUFFItME 1.5 requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:nla
MORTGAGE COMPANY: _ Not Applicable
Name: -
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:nra
BONDING COMPANY: Not Applicable
Name: -'a
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 *_0_r_Nr recording your Notice of Commencement.
SignatuN,of Owner/ Lessee/Contractor as Agent for Owner Signatur of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF LP..4ir) COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
bj5 Physical Presence or Online Notarization his Physical Presence or Online Notarization
this :3 day of 2020 by this 29 day of iuiy 2020 by
C=-nl.�s Al Yl r rcJames Murray
Name of person making statement. Name of person making statement.
Personally Known * OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced_ Produced
(Signature of Notary Pub '
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED