HomeMy WebLinkAboutBuilding Permit -AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
91r. ILIUM
LC 1 L_CIT
L- L c L' L `, `i 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: 117 QUEEN EUGENIA CT
Property Tax ID #: 1414-701-0050-000-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No._
Block No.
Install new 30 kw generator standby LP powered with (2) 200-amp service rated automatic transfer switches.
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 _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 22,750.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Benjamin Horton
Name: Daniel Stubbs
Address: 117 QUEEN EUGENIA 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: 7724644273
Phone No7724646466
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 30071
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 bylaws
rules, 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.
l
Signature of 0 ner essee/Contractor as Agent for Owner
Signature of Con actor/License Holder
STATE OF FLQRkD
STATE OF FLORIDA
COUNTY OFF `LI
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence Online
Swo n to (or affirmed) and subscribed before me of
or Notarization
this � day`` of !% o tv..oir,.- 2020 by
Physical Presence or Online Notarization
this /'7 day of /% �+�+-T.- 2020 by
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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
Pro uced
I Produced
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'(Signature of Notary Public- Stat
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ture of Notary Public- Stat o a
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Commission No. _•: �sbn;YHH013089
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