HomeMy WebLinkAboutBuilding Permit Package All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/3/2020 Permit Number:
-J1r°
D
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: 1107 S. 33rd Street, Fort Pierce, FI HOUSE 2
Property Tax ID#: 2417-214-0007-000-2 Lot No.
Site Plan Name: Block No.
Project Name: MLK Property Repairs
DETAILED DESCRIPTION OF WORK:
Installation of new 150 amp meter, overhead riser, panel & ground rods. Replace damaged wires at the panel.
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 -Windows/Doors _Pond
X Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3500.00 Utilities: -Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MLK Property Holdings LLC Name:Michael Pride
Address: 1306 South 14th Circle Company:Pride Electrical Services
City: Fort Pierce State:_ Address:843 S. Kings Highway 102-B
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No.772-216-9176 Zip Code: 34983 Fax: 772-461-2778
E-Mail: Phone No 772-461-2777
Fill in fee simple Title Holder on next page(if different E-Mail mike@pride-electhcal.com
from the Owner listed above) State or County License EC1300-5859 SLC 29875
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 au applicable Home Owners Association rules,bylaws or and covenantsthat may restrict or prohibit such
structure.Please consult w th 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
improv�ou
m�01-a:sn�doy
operty. A Notice of Commencement must be recorded in the public records of St.
Lucie Con the jobsite before the first inspection. If intend to financing, consult
wit before commencingwork or recordi our Notl o omm ncement.
Ai" Z42z��,
Sign Lure of Owner a/Contractor as Agent for Owner SignatUre of Contractor/LicknseAolder
STATE OF FLORID( STATE I A it, Q COUNTYFOFORI�t
COUNTY OF �
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
L-**`PIWsicaI Prese ce or Online Notarization 1,,Ph sical Presen�cf or Online Notarization
this day of , o�'V� Q 2020 by this�dary,of, f]NW 2020 by
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Name of person making statement. 0. U w 0 Name of person makirig statement. cz rc
Personally Known�OR Produced Identificatjs Personally Known OR Produced Identification m o
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(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. G7&?o2e-70Sa (Seal) Commission No.�c-).Z OYo2 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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DETED
JOSEDH E. SMITH. CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE R 4778307 OR BOOK 4505 PAGE 1112, ReCOrded 21/09/202CI 03:43:25 PM
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