HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/14/2020 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 1508 Coralbean Court Port St Lucie, FL 34952
Property Tax ID q: 3426-703-0056-000-2
Site Plan Name:
Project Name: Gary Hanson Residence
DETAILED DESCRIPTION OF WORK:
Install new 6/2 romex from panel to AHU, new breaker & Flex.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 42
Block No.
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: $ 850.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Gary Hanson
Name:Michael Pride
Address:1508 Coralbean Court
Company: Pride Electrical Services
City: Port St Lucie State: _
Zip Code: 34952 Fax:
Phone No.772-318-9536
Address: 843 S. Kings Highway
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-461-2778
Phone N0772.461-2777
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail mike@pride-electrcal.com
State or County License EC1300-5859
If value of construction is 2500 or more, a RECORDED Notice Or LOmmencemeni is requneu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ble
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: x Not Applicable
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Address: Address:
City: City: —
Zip: Phone: Zip: —
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to bo the worn anu >Lmiuuuu a�
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
structure. Pleasecconisulany
w ithpyolur Home Owners Association landrreviebylaws
your deed for any resttrits ctions which may applyhibit such
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 pro . A Notice of Commencement must be recorded i 1e public records of St.
Lucie County and posted the bsite before the first inspection. If you inten o ob in financing, consult
k -,or . of Com encement.
with le befor commencin coot
or
Sig a re of Contract /Lice a Holder
Signa Owner/ Lessee Co ractor as Agent for Owner
STATE OF FLORIDA / ;
STATE OF FLORID r
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COUNTY OF }{- lJ(/� _
COUNTY OF
swot o (or affirmed) and subscribed before me of
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this day of '4'^F� 2 a by
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Type of Identification
Type of Identification
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Notary Public- State of Florida )
k(Signature of Notary Public- Sta of FlgraQ haymond Prue
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