HomeMy WebLinkAboutPermit Devenport Cyclone Dr_000122All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/5/2020 Permit Number:
�Ir PRE
CCC
L L' L L ~vim 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
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 450 CYCLONE DR
Property Tax ID #: 2308-121-0000-000-3
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Residential X
New 200 -amp electrical service on free standing pole for well pump and site lighting
New Electrical Meter Second Electrical Meter X
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 1100.00
_ Generator
Lot No._
Block No.
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJustin Devenport
Name: Daniel Stubbs
Address:450 Cyclone DR
Company: S&W Electric, Inc
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone No.
Address: 501 W Coker Road
City: Fort Pierce State: FL
Zip Code: 34945 Fax: 772-464-4273
Phone No772-201-7320
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail stuboutelectric@aol.com
State or County License 30071
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
Name:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
I 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 your Notice of Commencement.
Rev. 5/6/20
!
Signature of Own r/ Les ee/Coptractor as Agent for Owner
i Signature of Con tr ctor/License Holder
STATE OF FLORIDA /
STATE OF FLORIDA
COUNTY OF �,—- / el-
COUNTY OFA_.
I
Sworn,ro (or affirmed) and subscribed before me of
Sworrv(o (or affirmed) and subscribed before me of
l/ P ysical Pres ce o Online Notarization
��
V Physical Pres ce or Online Notarization
�G�.
this day of 2020 by
this � day of 2020 by
I
Name of person making statement.
I I
I Name of person making staatent.
Personally Known OR Produced Identification
Personally Known OR Produced Identification j
Type of Identification
Type of Identifica 'on
Produced
Produced
(Sigrlat of DNdtary ffc=Mate o ; ®a� Notary Pub i s e of Notary Public- St o i a
.�+ / r Notary Public State of Flor da'
99 e� ap Lisa L White �p7 1 Lisa L White
My Commission GG 2 2COmm GG 29260"
Commission No e 1/ fu r ._ � )
slon h[o + , (Sga*mission
��O' Expires 02/112023
9� bExpires 02/11/2023 i
R
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20