HomeMy WebLinkAboutPermit Richard Beville 721 Campbell Rd_000120 rd
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/1/2020 Permit Number:
�M[LUC E1E
�- L c t: r c - 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: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 721 CAMPBELL RD, Fort Pierce 34945
Property Tax ID#: 2309-341-0006-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Rebuild 200-amp elecrical service on existing pole
Convert from overhead to underground
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
X Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ ��� 0 ' D Utilities: _Sewer _Septic Building Height:
OW N ERAESSEE: CONTRACTOR:
Name Richard Beville Name: Daniel Stubbs
Address: 721 CAMPBELL RD Company:S&W Electric, Inc
City: Fort Pierce State:_ Address:501 W Coker Road
Zip Code: 34945 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34945 Fax: 772-464-4273
E-Mail: Phone No 772-201-7320
Fill in fee simple Title Holder on next page(if different E-Mail stuboutelectric@aol.com
from the Owner listed above) State or County License30071
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 MORTGAGE COMPANY: — Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _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.
Sig ture of Own / ssee/Contractor as Agent for Owner Signature-of Contra of icense Holder
STATE OF FLORIDA STATE OF FLORIDA (7
COUNTY OF • 2&ele_ COUNTY �..J/, lc c_OF �C/
Swor (or affirmed)and subscribed before me of Sp wr o(or affirmed and subscribed before me of
P ysical Pre e r Online Notarization P sical Pre Online Notarization
this�day of a 2020 by this day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known ZR Produced Identification
Type of Identification Type of Identification
Produced Produced
01
ur tary Pub IC- 4 Public state of Florida
.�,,,� P�e+icstateorF na Notary - tatapf,Flo '
19 Lisa L white 9 ,F �, Lisa L white
Commission No. </ m GG 29M7 �/ GG 292607
�� 02/1112023 ommission No
a w E 11I2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20