HomeMy WebLinkAboutPermit ApplicationAIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICA']IION TO BE ACCEPTED
Date: 1 0-16-2020 Permit Number:
Building Permit Applicatiion
Plonning ond Development Services
Building and Code Regulotion Division COmmefCia I
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1.578
Residential x
Property Tax lD #: 3415-705-0117-000-0
1og 11s, 1 16
Site Plan Name:Block No. 1
Project Name: McGarr Residence
Replace challenger Panelto a square D eo. Same size, 200amp 42circuit.
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit - check all that appry:
_Mechanical Gas Tank Gas piping _ Shutters \iVindows/Doors _ pond
__ Roof __ pitch_ Electric _ Plumbing _ Sprinklers _ Generator
Sq. Ft. of First Floor:Total Sq. Ft of Construction:
Cost of Construction. 5 1,442.00 Utilitiers: _ Sewer _ Septic Building Height:
56ms Mirna McGarr Name: Kent Blosser
466rs55. 6860 Bronte Circle Comoanv: Blosser Electric
City: Port Saint Lucie Address: P.O Box 7305
7ia ca.to. 34952 City: Port Saint Lucie
phone y,1 s.77 2-528-7 986 7in cnAa. 34985E'y uvvv. _Fax: --
E_Mail : mirnapmcgarr@gmail.com phone 16 772-337-0055
Fill in fee simple Title Holder on next page { if different E-Mail electricinc.info@gmail.c;om
from the Owner listed above)State or Countv License EC13001570
PERMIT APPLICAIoN FoR: E;gCtriCat
PROPOSED IMPROVEMENT LOCATION:
Address: 6860 BRONTE CIR
DETAILED DESCRIPTION OF WORK:
CONSTRUCTI ON I NFORMATION :
OWNER/LESSEE:CONTRACTOR:
|fva|ueofconstructionis2500ormore,aRECoRDEDruoti."orc.@
lf value of HAVC is 57,500 or more, a RECoRDED Notice of comm{:ncement is required,
)Iate:, -
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:State:
Zip: _ Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Add
City
7ip:
ress:
State:
Phone
FEE SIMPIE TITIE HOLDER: _ Not Applicable
Name:
Add
City
zip:
ress:
Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
zip:Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and instattation 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 subiect structurewhlch ls ln conflict with.anY applicable Home Owners AsSociation rules, bvlaws or and covenants that mav restrict or prohibit suchstructure. Please consult with your Home Owners Association and review'your deed for any restrictions r,rihiih may a$ply.' - --
ln consideration of the granting of this requested permi! I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be iecorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. lf you intend to obtain financing, consult
with lender beforeor an attornev betore commencing wo k or recordine vour Not ce of Commencement.,/,-\ ,z:21--/#M*--/
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA ,^.
couNw oF .$. [_t],cl P_
STATE OF FLORIDA
COUNTY OF \t,Luci't
knLBhxrrr
Name of person making statement.
Personally Known OR Produced ldentifi cation
Type of ldentification
Produced
Type of ldentification
Produced
//,ft{an ffinn
Name of person making statement.
,/
Personally Known V OR Produced ldentification
(Signature of Notary
Commission No.
ALlsoN llAl.lsoN
coMiltrl€d){# GG e7oo43
€XPIREST |larch 16,2024
RAA'l.rl ?ha r llalo 9rrhlla I lndcmltaa
{Signature of Notary Public- State of Florida )
commission -"
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REVIEWS
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FRONT
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REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETAI#
REVIEW
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REVIEW
lllc Unoerwrlters IfiFffifilt#r
REVIEW
DATE
RECEIVED
DATE
COMPLETED