HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: October 26, 2020
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COuIB,F L O I D A
Permit Number:. "Zd \ d (3 ro ( S
Building Permit Appl
Planning and Development Services
Building and Code Regulation Division Commercial _
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 46Z 15�3 Fax: (772) 462-1578
ECEiVED
0 C i 2 9 2020
ST. Lucie County, Permitting
PERMIT APPLICATION FOR: Generator and moving overhead power to underground.
PROPOSED IMPROVEMENT LOCATION:
Address: 4101 South Indian River Drive
Property Tax ID #:-2435-111-0004-000-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Install new 20KW generator with transfer switch with built-in shedders and move power from overhead to underground.
New Electrical Meter X Second Electrical Meter
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
X Electric _ Plumbing --Sprinklers
Total Sq,, Ft of Construction:
Cost of Construction: $ 7000.00
X Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond'
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE: '
CONTRACTOR:
Name Thor Welhaven
Name: Owner/Matula Electric
Address:4101 S Indian River Dr
City: Fort Pierce State: FL
Zip Coder 34982 _ _ Fax: n2-461-2170
Phone No.,(772) 370-4624
E-Mail: thorwelhaven@bellsouth.net
Company:
Address:
City: _ State:
Zip Code: Fax:
Phone No
Fill in fee simple,Ttle Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License
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: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address: -
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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 attornev before commencing work or recording vour Notice of Commencement.
C�
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S't--t�ct<
COUNTYOF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this _Z&� 6 c day of ;t , 2020 by
this day of • 2020 by
\rna -f
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced yr, -L D L .
Produced
(Signature of Not Public, �jpp�pRIEGNF�
ignature of Notary Public- State of Florida )
": n7•••COMMISS022023
Commission No. (r(r zkz ( ES:Dec�mber�Ei.202U
mmission No. (Seal)
:°. Y NctuY public Underv�l
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev.S/b/zu