HomeMy WebLinkAboutBuilding permit app (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Planning and Development Services
Permit Number:
Building Permit Application
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 Residential
PROPOSED IMPROVEMENT LOCATION:
Address: 5715 palm drive
Property Tax ID #: 3402-609-0348-000-3
Site Plan Name:
Project Name: St Lucie Habitat for Humanity Inc
DETAILED DESCRIPTION OF WORK:
temp power pole
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
iC Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 850
Residential x
Lot No.30
Block No. 61
Gas Piping _ Shutters _ Windows/Doors _ Pond
Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name St Lucie Habitat for Humanity Inc
Name: Paul Romano
Address:702 S 6th ST
Company:AApex electric Inc
City: fort pierce State: _
Zip Code: 34950 Fax:
Phone No.7725770008
Address:561 sw biltmoore st
City: port st lucie State:fl
Zip Code: 34983 Fax:
Phone No7726079494
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail aapexelectric@yahoo.com
State or County License 13009343
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 TITLE HOLDER: _ Not Applicable
BONDING 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 Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF �_)�i. a('!°`1.�
Sworn to (or affirmed) and subscribed before me of
Sw n to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
P ysical Presence or Online Notarization
this day of/JG2020 by
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
Prod ced
1
1
(Signature of Notary Public- State of Florida)
(Signatu of�lgary�i��,,ctfdarcmda )
Commission No. (Seal)
aQ Dena M Fullwood
Commiss ? altltBOP) A 054334
My (Se 1)
—Expfre�iGl202�
of P
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20
ELECTRWAY. -Qirc!i-D LIAGRAIM.
NOT TO SCALF,
-.7
For any other elects ic�
! a, applications apply Florida Building Code 107-3.5 Electric2l
1. Wiring Services; �eeders & Branc� Circuits; Over Current Protection; Grounding; Wiring Methods & Materials; GFCJ
2. Equipment 9
3.
Special Occupancies
4. Emergency System's
5. Communication Systems
stems
6. Low Voltage
7. Load Calculations
8. Design Flood Elevation
Dual Electrodes or Test Required
L Size Service:
2. Conductor Size: EJ ALUM
3- a- Meter Main:
b. Meter Can Only:
(CONS IUCTION TYPE,:
7Residential
❑ Mobile Home
❑ New Installation
❑ Old Installation
r.\bld\bldg formsNewApplicati �
06STOrMsTlectrical Riser Plan.doc
i
Rev. 529/12