HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8-25-2020 Permit Numbers
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Building Permit Applicatio Pa )n
Planning and Development Services C"' / '"+.�, �y
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Building and Code Regulation Division Commercial ReSidel1tial
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Electrical permit for hot tub (swim Spa)
PROPOSED,IMPRDVEIVIENT LOCATION
Address: 1717 Primrose Court Port Saint Lucie Florida 34952
Property Tax ID#: ZLia4 – 710 3' p f 0 ^ ()(30 Lot No. 3
Site Plan Name: L.4 K uC,'� 7�-F 147– VO Block No.
Ke— 1,.. �,� � S / d/Ili. o
Project Name: Rusco Swim Spa
DETAILED DESCRIPTION':OF WORK`,'
Install a new 60 amp GFCI protected branch circuit for the connection to the new Customer Fumished and installed Swim Spa
New Electrical Meter N/A Second Electrical MeterN/A
-ONSTRUCTI.ON_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: $ t4 2-7. ;0 Utilities: —Sewer —Septic Building Height:
01NN ER/LESSEE CONTRACTOR:
. ; . .
• ,,
Name r S CC) e Name.Michael Horutz
Address: Imo.�� ' r n--, r- L �– �- Company:
All Power Electrical Contracting LLC
City: State:_ Address:773 SW McCraken Ave
Zip Code: Fax: City: Port Saint Lucie State:FL
Phone No. Zip Code: 34953 Fax:
E-Mail: Phone N0772-528-7258
Fill in fee simple Title Holder on next page(if different E-Mailallpowerec@gmail.com
from the Owner listed above) State or County License EC13006338
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.
S,VPPLEMENTAL.CONSTR.UCTION, LIEN.LAW.INFORMATION .,
DESIGNER/ENGINEER: x—Not Applicable MORTGAGE COMPANY: x_Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X 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 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.
Signature of 0 /Lessee/Convdor as Agent for Owner Signature of C actor/License toder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF A; i COUNTY OF 5A=>✓T `�-
S- wn to(or affirmed)and subscribed before me of rn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Ph sical Prese ce or Online Notarization
his�r&ay of_ A��y�� ,2020 by this day of 2020 by
Name of person making statement. Ronald Eaton Name of person makin statemen t1,1t Ronald Eaton
Notary Public r _ Notary Public
Personally Known. OR Pr _ Personal) n ORP tf ida
Type dentifi ati Comm#HH023�—
Troduced en ica 'on �� Expires 7/27/2024 cE Ie► Expires 7/27/2024
Pro ced P
r�
ignatu a of otary Public-State of Florida) f
(Sidniiture of Notdry Public-State of Florida)
Commission No. l
(Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20