HomeMy WebLinkAboutElectrical App Lucas, JeanAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
'�'r LC�1LCE�y�
Lj 0 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:ElecteIC
�, ?R�QPOSED IMPROVEMENT LOCATION:
Address: 780 SE Hidden River DR Port St Lucie, FL 34983
Property Tax ID #i: 3427-701-0063-000-1 Lot No.28
Site Plan Name: HIDDEN RIVER ESTATES Block No.
Project Name: Lucas
DETAILED DESCRIPTION OF WORK:
Install 120V 20AMP Dedicated GFCI Circuit
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 _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 700.00 Utilities: _Sewer _Septic Building Height:
',p .
Name Elva J Lucas
Name:Walter Nasi
Address:780 SE HIDDEN RIVER DR
Company:Sol Electric LLC
City: Port St Lucie, State: _
Address:5500 SW 43rd Ter
City: Ft Lauderdale State: FL
Zip Code: 34983 Fax:
Phone No.772-349-3847
Zip Code: 33314 Fax:
E-Mail:
Phone N0754-423-4105
Fill in fee simple Title Holder on next page ( if different
E-Mailwnasi72@yahoo.com
State or County License EC 13008044
from the Owner listed above)
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: _ Not Applicable I MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Address:
City:
Zip: Phone:
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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
withJender or an attornev before commencing work or recording vonr Notirp of Commenrement_
as Agent for Owner
STATE OF FLO
COUNTY OF i2z>(,JfI
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this a/!ilayof uQ 2020 by
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Name of person making statement.
Personally Kno OR Produced Identification
Type of I ti tcatiop
Prod ce
I_W'621 L 2
(Signatu f of P ' - State of Florida )
M
Commission No. ✓"wk ,'Nolaq�{�c sure of Florida
'44THRYNPOCKER
e My commission GG 049422
REVIEWS
COUNTER I REVIEW I REVIEW
DATE
RECEIVED
STATE OF FLORID/,
1 e�
COUNTY OF
S �n to (or affirmed) and subscribed before me of
} PIwsical Presence or Online Notarization
this day of 2020 by
Name of person making statement
Personally Know Z—�` OR Produced Identification
Type of Iden . ication
�qP' Notary *u Z�$tlite of Flonda
KATHRYN POCKER
NO.v y CommoaJ6eWP49422
YnlraA 11121f2020
PLANS � REVIEW VEGETATION EV EWSEA REVIEW LE MANGROVE REVIEW