HomeMy WebLinkAboutPermit Application 6788 PicanteAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/21/2020 Permit Number:
Lis LL
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR:
Electric
Name Richard J Thomas
Name: Kent Blosser
Address:6788 Picante Circle
City: Fort Pierce State: _
Zip Code: 34951 Fax: "
Phone No. 615-483-2012
PROPOSE mPk6w,
Address: P.O Box 7305
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E-Mail:turf4543@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail nrblosser@gmail.com
State or County License EC13001570
Address: 6788 Picante Circle
Property Tax ID #: 1306-500-0197-000-4 Lot No. 3
Site Plan Name: Block No. 52
Project Name. Thomas Residence
DETAILED DESCRIPTION OF WORK:
Install a 30amp generator inlet and Interlock kit in the Garage.
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 _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 570.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard J Thomas
Name: Kent Blosser
Address:6788 Picante Circle
City: Fort Pierce State: _
Zip Code: 34951 Fax: "
Phone No. 615-483-2012
Company: Blosser Electric
Address: P.O Box 7305
City: Port St. Lucie State: FL
Zip Code: 34985 Fax: --
Phone No 772-337-0055
E-Mail:turf4543@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail nrblosser@gmail.com
State or County License EC13001570
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 INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:—
City-
Zip:
ddress:City:Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
— Not Applicable
State:
Not Applicable
MORTGAGE COMPANY: _ Not Applicabie
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicates
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, consul
r
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sw rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this &0_ day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
_-n .,
(Signature of Notary Pub
Commission No.
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
e
— '—AtFSON HANSON
MY COMMISSION # GG 970043
EXP&94arch 16, 2024
Bonded Thru Notary Public Underwriters
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF___%, LL[(l-2
Sw9rn to (or affirmed) and subscribed before me of
Physical Pre ence or Online Notarization
this day of 2020 by
i -
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public -
Commission No.
tv"�Idp Iorida) ALISON HANSON
N: MY COMNS'SSION # GG 97004
(SDWI�ES: March 16, 2024
Bonded Thru Notary Public Underwrltd
ZONING SUPERVISORI PLANS I VEGETATION I SEAREV EWLE MANGROVE
REVIEW REVIEW REVIEW REVIEW I REVIEW
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