HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/14/2020
Permit Number: "` l
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) 462-1S78
PERMIT APPLICATION FOR: Karen Gibney
PROPOSED IMPROVEMENT LOCATION:
Address: 771 SE Solaz Ave. Port Saint Lucie FL 34983
Property Tax ID #: 3419-545-0055-000-9
Site Plan Name:
Project Name: FPL underground conversion
DETAILED DESCRIPTION OF WORK,
Remove overhead power from utility to undergound
New Electrical Meter No Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Lot No. 17
Block No.
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric , Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: NIA
Cost of Construction:,$ 1000.00
Sq. Ft. of First Floor: NIA
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR -
Name Karen Gibney
Name: Josh Patri
Address:771 SE Solaz Ave.
Company: Bradford Electric Inc.
City: PSL State: _
Address:1251 Jupiter Park Dr.
Zip Code: 34983 Fax:
City: Jupiter State: FL
Phone No.772418-5843
Zip Code: 33458 Fax: 561-747-0677
E-Mail: kazeel22@gmail.com
Phone No561-747-0656
Fill in fee simple Title holder on next page ( if different
E-Mail itp@bradfordelectric.net
from the Owner listed above)
State or County License EC13008879
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 LAIN INFORMATION:
DESIGNER/ENGINEER: _ Not Applica
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
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 attornev before commencing work or recordine vour Notice of Commencement.
Sig tore of Owner/ Lessee/Contractor as Agent for Owner
Sig ature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF---
COUNTY OF --
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or x Online Notarization
Physical Presence or x Online Notarization
this 1- day of 2020 by
this 'm day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of NotaFy P,ubJjc,_$1iaXe,,pf Florida)
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(Signature of No y-Pu liE-5ta rida )
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Commission No. PT,a �z� S (Seal)
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Commission No. l.,_: , . `""'° ��°" (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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LECTRIC Irrc. coMxAcTORs
Owner: Thomas Patri EC 13003147
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1251 Jupiter Park Drive
Suite 7
Jupiter, FL 33458
(561) 747-0656
(561) 747-0677 FAX
Home owner: Karen Gibney
771 SE Solaz Ave.
Port St. Lucie, FL 34983