HomeMy WebLinkAboutDonnelly permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electrical - Hot tub
PROPOSED IMPROVEMENT LOCATION:
Address: 14386 Azucena Ct, Fort Pierce, FL 34951
Property Tax ID #: 1012307
Site Plan Name:
Project Name: Donnelly - 14386 Azucena Ct
DETAILED DESCRIPTION OF WORK:
Residential x
Lot No.
M011 O O
Install GFCI in meter main outside of lanai. Run carflex through aluminum panel and wire hot tub. Bond any metal
within 5' of hot tub.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION; I
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 T Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 790.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Mark Donnelly Name: Donald Green
Address: 14386 Azucena Ct Company: Don Green Electric
City: Fort Pierce State: Address: 1305 W 1 st St
Zip Code: 34951 Fax: City: Fort Pierce State: FL
Phone No. (772) 940-3789 Zip Code: 34982 Fax:
E-Mail: markdonnelly2010@yahoo.com Phone No (772) 418-5739
Fill in fee simple Title Holder on next page ( if different E-Mail permits 9dongreenelectric.com
from the Owner listed above) State or County License EC13007447
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.
SUPPLEMENTAL CONSTRUCTION LIEN
LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:_
MORTGAGE COMPANY: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone:
State:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:
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 Co and posted on thejobsite before the first inspection. If you intend to obtain financing, consult
with ler0er or an attorney before commencing work or recordif%your Notice of Commencement.
Signature of Owner/
STATE OF FLORIDA
COUNTY OF St Lucie
ractor as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
xx Physical Presence or Online Notarization
this 4 day of Feb , 2020 by
Donald B Green
Name of person making statement.
Personally Known xx
Type of Identification
Produced
OR Produced Identification
( ignatur of Notary Public- State ❑
a
Commission No. GG267323
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OFS[Lucie
Sworn to (or affirmed) and subscribed before me of
xx Physical Presence or Online Notarization
this 4 day of Feb 2020 by
Donald B Green
Name of person making statement.
Personally Known xx OR Produced Identification
Type of Identification.
Produced
NOTARY PUBLIC (Signatur iof Notary Public -State of FI
STATE OF FLORICYp
Comm# GG267323 Commission No. GG267323
Expires 10128/20 2
SUPERVISOR PLANS VEGETATION SEA TURTLE
REVIEW REVIEW REVIEW REVIEW
I
L.
Jamie Perna
STATE OF
Comm# GC
Expires 1
MANGROVE
REVIEW
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