HomeMy WebLinkAboutBuilding Permit Package All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
ST. LUCIE-
' COUNTY
i L F LORI DA —AW, 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 Service Change
PROPOSED IMPROVEMENT LOCATION:
Address: 3707 Avenue M il'&06 23,q it 5
Property Tax ID#: 2405-601-0529-000-8 Lot No.5
Site Plan Name: Block No. 29 E
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace out side meter cam
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:$ 300-00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Grape Leaf Park LLC Name:Jorge F Granadillo
Address:PO Box 6467 Company:Grana Electric A/C & Plumbing, Inc
City: Lake Worth State:FL Address:3073 SW Ann Arbor Rd
Zip Code: 33466 Fax: City: Port St Lucie state:FL
Phone No. Zip Code: 34953 Fax:
E-Mail: Phone No 772342-9713
Fill in fee simple Title Holder on next page if different E-Mailgranadillo69(Lbyahoo.com
from the Owner listed above) State or County License -ET: 130053 1 5
I L'4v_a1ueof construction is 2500or more,a RECORDED Notice of Commencement is required.
Ifv
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 attcl before commencing work or recording our Notice of CDfamencement.
Signature of Owner/Lessee/Co ractor as Agent for Owner Signature of Contractor/Lic er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S V Ui� COUNTY OF ;4 �V GP(;
Swor o(or affirmed)and subscribed before me of Swor to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this IZ day of 2020 by this I Z day of,TA&ItJ46 K 2020 by
Na Me of rson making statement. Name of pell making statement.
Personally Known OR Produc c�ldentification Personally Known OR Produced Id tiification
Type of Identification Type of Identification
Produced Produced_
(Sig tune of Notary Pu YPu RESNILLO (Sigi a of Notary P `S YPue ' FR N}LLO
°oq0� e to of Florida-Notary Public -o _$4eit e of Florida-Notary Public
Commission No. r 96a"ion # GG 272747 Commission No. G� �'I clar4�mi;o8aWp GG 272747;
;+ My Commission Expires- + ,� My Commission Expires
December 22, 2022 �+�' nii���`°� D9dember 22, 2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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