HomeMy WebLinkAboutBuilding Permit App-Lot 6All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-18-2021 Permit Number:
iIT. LUrCLE 4
r c c l� c c' ry Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 3318 Orange Ave, Ft. Pierce, FL 34947
Property Tax ID #: 2408-605-0007-000-4
Site Plan Name:
Project Name: Seminole MHP
DETAILED DESCRIPTION OF WORK:
Replace burnt main disconnect panel
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
Total Sq. Ft of Construction:
Cost of Construction: $ 1091.00
Lot No. 6 Plumosa
Block No.
_ Windows/Doors _ Pond
_ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name c/o Riverstone Communities
Name: Jeffrey R. Waite
Address:6400 Telegraph Rd, Suite 2000
Company: Infinity Electric Co., Inc.
City: Bloomfield To State: _
Address: 630 Tall Pines Rd
Zip Code: 48301 Fax:
City: Haverhill State: FL
Phone No.
Zip Code: 33415 Fax: 561-588-3805
E-Mail:
Phone No 561-662-9299
Fill in fee simple Title Holder on next page (if different
E-Mail infinityelectric@bellsouth.net
from the Owner listed above)
State or County License EC13005456
vauv uLARMFUcawn os cauu or more, a KCcvKUrU Notice or commencement is required.
If value of HAVC is $7,50D or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: i State:
Zip: Phone
FEE SIMPL5TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: _ Phone:
MORTGAGE COMPANY:
Name;
Address:
City:
Zip: Phone:_
RON
Nam
Addr
City:.
Zip:-
ING COMPANY:
Phone:
X Not Applicable
State:
x Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to 4btain a permit to do the work and installation as indicated.
I certify that no';work or installation;has commenced prior to the issuanco of a permit.
5t. Lucie County makes no representation that Is granting a permit will al
which is in conflict with any applicable Home Owners Association rules, I
structure. Please consult with your Home Owners Association and reviev
in consideratlor of the granting of this requested permit, I do hereby agr
in accordance with the approved plans, the Florida Building Codes and Si
The following building permit applications are exempt from undergoing
accessory structures, swimming pools, fences, walls, signs, screen rooms
WARNING TO OWNER: Your follure to Record a Notice of Comi
improvements to your pr(jperty, A Notice of Commence)
Lucie Co4nty and posted on the jobsite before the first in
with lender or an attorney before commencing work or r
'horize the permit holder to build the subject structure
laws qr an covenants that may restrict or prohibit such
your deed for any restrictions which may apply.
e that I will, In all respects, perform the work
Lucie County Amendments.
Full concurrency review: room additions,
Ind accessory uses to another non-residential use
encement may result in paying twice for
lent must be recorded in the public records of St.
pection. If you intend to obtain financing, consult
cording vour Notice of Commencement.
i
Si a e of er/ L s e/Contriactor as Agent for Owner
Sign
pr6bf tractor/License Holder
STATE OF F�ORIDA
COUNTY OFd►Lr..%
STAII
COU
E OF FLORIDA
SITY OF
T IfWC-0
to (or affirmed) and subscribed before me of
ical Prese ce or Online Notarization
day of AAV 2A2&-by
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Swoyn to (or affirmed) and subscribed before me of
✓ Phyy�ssl�al presen a or 6nline Notarization
this / day �f 7, ooly
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Kk7►�1N �.. Jud-rrClu-
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this
Name of person making state en(.
Nam
of person making statement.
Personally Known pR Produced Identification
Type of Identification
Prod ced �ti;�. ° , KEVIN JUSTICE
- e of Floride-Notary Public
=• •= Commission S GG 24968
My Commission Expire
Perso
ially Known �y,-' OR , en i i 99 -�Lu=
f Identification '•
a� :State of Florida-Noter
ed =• •_ Commission A GO 2
My Commission E
•'�,,;,��, August 16, 20
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(Signature Notary Publi
ign
Lure of 19otary Publlc- State of Florida )
Commission No. i (seal)
Commission
No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE i
RECEIVED i
DATE
COMPLETEW
Rev. 5/6/20