HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 2/5/2021 Permit Number:
M
Permitt'ing'Lcpartmen, ..
° ° �' Building Permit'Appli-cation St.Lucie Count" _
Planning and Development Services
.,
Building and Code Regulation Division' " COCIICIIeI CIaI R@SldGlltial X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553' Fax: (772) 462--1578
PERMIT APPLICATION FOR:. Electrical
PROPOSED IMPROVEMENT LOCATION
Address:'2601 N Us Highway 1; Lot 24 a
Property Tax ID #: 1433-120-0010-000-5 Lot No.
Site Plan Name: Block No.
Project Name: -
DETAILED DESCRIPTION OF WORK:
Inspect mobile home for any heat or fire related:dartw&-in "order to-reenergize pedestals:
New Electrical Meter Second Electrical Meter
CONSTRUCTION -I NFORMATION.
Additional work to be performed under this permit - check all that apply:
-Mechanical _ Gas Tank _'Gas Piping _Shutters _Windows/Doors _ Pond
J Electric _ Plumbing _Sprinklers _ Generator.. = Roof - Pitch -
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 265.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ff Pierce Colony 'LLC
Name: Eric Letourneau - -
Address'295 Madison Ave FI'2;
Company: WireriutZinc..:,, • ,
City: New York State: _
Address;3504 Fontaneda'Ave
Zip Code: 10017 Fax:
City: Fort. Pierce - State: FL
Phone No.
Zip Code: .34947 Fax:
E-Mail:
Phone No 772 466 0500 _
'E-Mail WirenutZinc@aol.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License EC13005517
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
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 >:bn'suit'wlth 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-1 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 on1he jobsitebefore the first inspection. If you intend to.obtain financing, consult
with lender -or an attorneybefore commencing work or recordingour Notice of Commencement.
.LIEN LAW INFORMATION:
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:
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
S-TA;f OF'fL-ORiDA
COUNTY OF S �' L l�
STi4Tf-{3FfL0RJDA-
, V�_
COUNTY OF .T�
Swgrrn to (or affirmed) and subscribed before me of
V
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization's
Physical Presence or Online Notarization
this J� day of QOZo by
this S�- day of �(��✓`� ,moo by
2.oZi
Name of person making statement.
Name of person making statement.
v - OR Produced Identification
��tfication
P rsonally Kn n � OR Produced Identification
-
- Typ dentification
Produced -
Produced
v
d'Y � Notary Public State of Florida
Notary Public State of Florida
(Signature of Not u I i n �GG 1y
y r; va y�om is t35665
(Signature of tic ftt
_