HomeMy WebLinkAboutBuilding permit applicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L 01) 112 2 -Z 0 Permit Number:
O
� �� •o ��ry 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: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 1508 Coralbean Court
Property Tax ID #: 3426-703-0056-000-2
Residential X
Lot No.42
Site Plan Name: Block No.
Project Name: Lake Lucie Estates Plat No. One
DETAILED DESCRIPTION OF WORK:
Supply and install 150 amp 8-16 circuit main lug outdoor panel with pass through lugs. Installing 240 V 30 amp receptacle
in garage.
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 T Windows/Doors _ Pond
— Electric — Plumbing _ Sprinklers T Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 11900
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
NameBarbara Hanson
Name:Bdan Stott
Company --Stott Brothers Electric
Address:1508 Coralbean Court
City; Port St Lucie State:
Zip Code: 34983 Fax:
Phone No.
Address: 385 NE Gl;entry Avenue
City: Port St Lucie State: FL
Zip Code: 34983 Fax:
Phone N0772-408-4911
E-Mail stottbrotherselectric@gmail.com
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License ER1 3015522
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 TITLEHOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
City:
Address:
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 lanrlar nr an at nrn¢v hPfnro rnmmpnring work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holdep
STATE OF FLORIDA
STATE OF FLORIDA Q L
COUNTY OF
COUNTY OF l cA-G= ` l
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
X Ph sisal Presence or Online Notarization
this t�"`rday of �/'i,6Arr , 2020 by
this day of �p ht2!' 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification X
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced rloriAcc _QtWe_r'5j_.:c-e0be
Produced
i
(Signature of Notary Public- P .,ti U, SAVANNA nature oNotary Pubc-Staa SAVANNA STIL1'
MMISSION GG 15l S9 COMMISSION 9 GG
`' 197U59=
Commission No. :off; March 19, 2022 Co mission No.
(aWIRES. a EXPIRES: March 19,
e f Y4�o Bonded Thru NotaryPublic Unde ilers ~;Fnf L°r; Bonded Thru Notary Public Ual
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
KeV. 5/b/LU