HomeMy WebLinkAboutPermit - Joe Valentine 123 Queen Ann_000219All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
1�10 lel l�1115 R
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: 123 QUEEN ANN CT
Property Tax ID #: 1414-701-0202-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
20 -amp weatherproof GFI circuit for ice machine and (2) coach lights on front of garage with existing switch at front door
Use existibg 50 - amp shore power circuit for new sub -panel at dock for 35 -amp 240 volt boat lift, and (1) 30 -amp 120 volt shore power pedastal
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
Electric _ Plumbing _ Sprinklers _ Generator
_ Windows/Doors _ Pond
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ Utilities: —Sewer —Septic
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJoseph Valentine & Ellen Gross
Name: Daniel Stubbs
Address: 123 Queen Ann CT
Company: S&W Electric, Inc
City: Hutchinson Island State: _
Zip Code: 34949 Fax:
Phone No.
Address: 501 W Coker Road
City: Fort Pierce State: FL
Zip Code: 34945 Fax: 772-464-4273
Phone N0772-464-6466
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 EC13007544 / 30071
It 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 TITLE HOLDER: _ Not Applicable 13ONDING COMPANY: 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 attorney before commencing work or recording our Notice of Commencement.
Signature of 0 ner essee/Contractor as Agent for Owner Signature of Con actor/License Holder
STATE OF FLORD STATE OF FLORIDA
COUNTY OF�t✓i i COUNTY OF1�
Sworn to (or affirmed) and subscribed before me of
✓ PLysical Presence or Online Notarization
thday of n 2020 by
Name of person making statement.
s to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of l7� L�.2; �.� 2020 by
Name of person making statement.
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Pro aced , Produced
(ignature of Notary Public- Stat talgi ture of Notary Public- Stat o a
LAURA RR CUBSEDGE ; 't�'"• •. URA R. CUBBEDGE
Commission No. A;nissbn#HH 013089 C� _. C fission#HHOi3089
res October 21 2024 Com fission No. :, :off
Bonded Thru Troy Fain Inewar4e 80.385.7019 °or ncl: h October ToyFa2i, 2024
Baled TMu Troy Fain dwrance
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