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HomeMy WebLinkAboutSLC.Permit APP.4000 Edwards Road.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date F ELF CM o s� Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-15S3 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Temporary Power Pole PROPOSED IMPROVEMENT LOCATION: AAArncc- 4000 Edwards Road ©rnnorty Tay I n it. 2429-222-0005-000-0 CitA plan Names - Project Name: Hardman Temp Power Pole DETAILED DESCRIPTION OF WORK: Provide & Install Temp Power Pole New Electrical Meter Second Electrical Meter. I CONSTRUCTION INFORMATION: Residential X Lot No._ 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: Sq, Ft. of First Floor: Cost of Construction: $ 1200.00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name William & Zandra Hardman Name: Joseph E Herndon, Sr. Address: 4013 Grenwood Drive Company: doe's Electric of St Lucie Cnty., Inc. City: Fort Pierce State: FL Zip Code: 34982 Fax: Phone No. 772 519-1100 Address: 1206 Bell Avenue City: Fort Pierce State:FL Zip Code: 34982 Fax: Phone No 772 465-2363 E-Mail: billhardman@pm.me Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail JQes@usa.com State or County License EC13007203 If value of construction is 2500 or more, a RECURULU Notice oT t ommencement Ls requires. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFI'll DVIT: 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. Sign ure of Owner/ Lessee/Contractor as Agent for Owner Sig tufe of ontracto /License Holder TATE OF FLORIDA STATE OF FLORIDA COUNTY OF -71 Grp'/ e— COUNTY OF s i. ,Lu e -e Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of _/ Physical Presence or Online Notarization 1day Physical Presence or Online Notarization of cr <-v 202X by this -2.)- .� �-J _� this�2e�. !1 day of 202W by �t Gr-e'c� _ Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known —Jy"� OR Produced Identification _� Type of ldentificati n Type of Identification Produced. Produced (Signature of Notary Public- State of Florida) (Signature of Notdry Public- State of Florida ) 1� Commission No. Cti' " 3S5 (Seal) Commission No. 5 otary Pubi )of Fioncis McDaniel andolph 1� MY Gommissian GG 352355t r rrr NotajPubfic e of Flprida - A` 89' REVIEWS My Ff# Ex nte GG 3 ir3 2 nPE ISOR PLANS VFGETA E l�i �' E ;gld,p W REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE _71 COMPLETED ev.