HomeMy WebLinkAbout2001-394 St Lucie Signed permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
`r = L" t Building PP Permit Application
Planning and development Services
Building and Cade Regulation division Commercial X Residential
2300 Virginia Avenue, Fort Pierre FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT -LOCATION:
Address: 8118 S. Ocean Dr.
Property Tax ID#• 3527-501-0001-000-2 Lot No.
Site Plan Name: Diamond Sands Entrance gate modification Block No.
Project Name: Diamond Sands
DETAILED DESCRIPTION OF WORK:
Install dedicated 20 amp circuit to new gate entrance equipment from existing guard stricture at main entrance
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:
e,Copto?/�,*truction: $ 4,000.00
Generator
_• Windows/Doors
Sq. Ft. of First Floor:
Roof
Utilities: — Sewer _ Septic Building Height:
{ ? 11504f 'K-kSSEE:
NameDiamonH.Sands
`;Adiress•1015NW 19th St. Ste 200
�Cjty: Boca VOn State:
*. Fc
QFax:
rr rA�91$".201-961-5104
E-Mail:warthka@gmall.com
Fill In fee simple Title Holder on next page ( ff different
from the Owner listed above)
Pond
Pitch
CONTRACTOR:
Name -Thomas J Patri
Company: Bradford Electric Inc
Address: 1251 Jupiter Park Drive
City: Jupiter State:fl
Zip Code: 33458 Fax: 561-747-0677
Phone No561-747-0656
E -Mail TJP@BRADFORDELECTRIC.NET
State or County LicenseEC13003147
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 LAWINFORMATiOW.
iDESiGNER/ENGINEER: _Not Applitable 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, swlmming 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.
Ct
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
_ Physical Presence or Online Notarization
this _ day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signatuie of Notary PUbiIL- State of rlurida )
Commission No (seal)
REVIEWS I FRONTZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETI
ev.
STATE OF FLORIDA
COUNTY OF
Sto (or affirmed) and subscribed before me of
MPhysical Presence or Online Notarization
this day of 2020 by
Name of person making/statement
Personally Known Y OR Produced Identification
Type of Identification
{Signature of Notary Public.
Commisslon No. _
of Florida
(Se 149
fy
SUPERVISOR PLANS VEGETATION SEA TURTLE MANft�
REVIEW I REVIEW I REVIEW REVIEW REVIEW