HomeMy WebLinkAboutFagan_Permit_AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/3/2020 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: William Fagan
PROPOSED IMPROVEMENT LOCATION:
Address: 7803 Lakeside Way, Fort Pierce, FL 34951
Property Tax ID #: 1301-603-037-000-7
Site Plan Name:
Project Name: Meter Change to Meter Main Combo
Lot No. 20/21
Block No. 21
DETAILED DESCRIPTION OF WORK: I
Remove existing Meter base on exterior and install new Meter Main Combo 200a, no size increase.
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION: I
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: $ 1,200.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William Fagan
Name: Philip D. Bailey
Address: 7803 Lakeside Way
Company:Altech Electric of Central FL, Inc.
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 772-519-2467
Address: 7224 Chancery Lane
City: Orlando State: FL
Zip Code: 32809 Fax:
Phone N0407-857-7879
E -Mail: willytnash@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail Permitting@altechelectdc.com
State or County License EC13001682
it 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 INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
COUNTY OF OELA�
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
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Address:
City:
Name of person making statement.
City:
Zip: Phone:
Personally Known 4_ OR Produced Identification
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 wor r recording our Notice of Commencement.
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Signature of Owner/ ssee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF OELA�
COUNTY OF �ftMGI �i
Sworn to (or affirmed) and subscribed before me of
Swor to (or affirmed) and subscribed before me of
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Type of Identification
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