HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 02/04/2021 Permit Number: y� lJ I0 `
91io LL,UJ C_,E RECEIVED
o FEB 0 4 2021
Building Permit Application
Planningand Development Services Permitting Lucie COunt'ant
P St. Lucie County
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 meter change
PROPE��EQ 111%I;gPR01lEI11IENT LC3'CATI,OIU . : � � �
Address: 3037 Five iron Drive
Property Tax ID'#: 3425-707-0093-0002 Lot No.10
Site Plan Name: Savana Club Block No. 36
Project Name: PB 40-39 map3/25 n
DETAILED QES RIPTION OF 1iUORK a"" =
Replace burnt Meter/Main can outside 200 amp underground
New Electrical Meter Second Electrical Meter
5C , ISTUCI` NkINI`ORMATIO1
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: $ 1500 --Utilities: Sewer —Septic Building Height:
t31/i1NERf LE5S :CONTRACTORS
.p, .
Name Walter Nygard Name:Tom Pope
Address:3037 Five Iron Drive Company:Pope Electric
City: Port Saint Lucie State:_ Address:750 SE Breakwater Ave
Zip Code: 34983 Fax: City: P.S.L. State:FL
Phone No. 772-873-8580 Zip Code: 34983 Fax:
E-Mail: Phone No772-528-3594
Fill in fee simple Title Holder on next page(if different E-Mail popeelectric66@gmail.com
from the Owner listed above) State or County License ER13014829
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.
01' -Mv,MENT, LC�J�'ST��ICTIQt�
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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 beforethe first inspection. If you intend to obtain financing, consult
With lender or an attorney before commencing work or recording our Notice of.Commencement.
Signature of Owner/Les a/Contractor as Agent for Owner kS—naturg'of Contractor icense Wolder
STATE OF FLORIP4 STATE OF FLORIDA �I
COUNTY-OF , �`�� � L. COUNTY OF
SW r to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Prese e o Online Notarization Physical Presence or Online Notarization
this_.day of - 202U by this day of 2020 by
rn p h ue- p
Name of person making statement. Name of person making sta ement. /
Personally Known OR Produced Identification Personally Known OR Produced Identification �V
Type of Identification . Type of Identificatio-IL
Produced Produced
_ o Cam`
(Signature of Notary Public-State of Florida ) (Signature of
KAREN S. NIELSEN
� i KAR EN4 NIELSEN n� �z°SPRY PUA` _State of Florida-N� public
Commission No. .��' �a% a Commission N i
0_ a of Flo i a- otary Public - ssion # 484
e�
=* *E Commission # GG 207484 M Commission Expires
i9 �� '�/,�OF fI�P�\ Y
June 12, 022
REVIEWS _ R. PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20