HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMITTYPE: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential xx
Address: 4845 RIVER OAK LN, FORT PIERCE, FL 34981
Property Tax ID #: 2430-502-0025-000-9
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
OVERHEAD TO UNDERGROUND AND BUMP UP SERVICE FROM 150 AMP TO 200 AMP (BACK TO BACK SVC)
LEGAL DESC ***RIVER OAK ESTATES LOT 25 & ELY 1/2 OF 26
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ $2,000.00
_ Sprinklers _ Generator
Sq. Ft. of First Floor: _
Windows/Doors
_ Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT TODD CASH
Name:CHARLES E. LOWE
Address:4845 RIVER OAK LN
City: FORT PIERCE, FL State: _
Zip Code: 34981 Fax:
Phone No.772-267-1711
E-Mail:
Company:CHARLES LOWE ELECTRIC, INC
Address:452 HERNANDO ST., APT A
City: FORT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No772-332-9668
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail CLOWEELECTRICINC@AOL.COM
State or County License20941 / ER#0015111
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
-Signature of Owner/ essee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLODA
COUNTY I Dk Q_ I t-
STATE OF FLORIDA,
COUNTY OF S-- f q C-
The for ing instru ent was acknowledged before me
this day of �lS%' 20� by
The forgoing instruj�-ent was ac�c iowledged before me
this day of ttS'i 20r,�� by
C /(�.„�\/ � /�
/tea/- Jil[�/ �/�i ..k__
Name of person making stattt ment.
ement_
Name of person mak7011
Personally Known 1! OR Produced Identification
Personally Known Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sign ture of Notar ub C-i a 4o N��r�lic state of Florida
GI nndol n Hepworth
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Commission NO. /c artu Cxpir�12021
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(Signature of Nota " ublic St1IdiE public State of Florida
al)nnd lyn Hepworth
My Commission GG 119396
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Commission O.,.: Q Expi�6/2021
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