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HomeMy WebLinkAboutBowlingLarry Permit Appl 2021-02-05_125447All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: [LUC Is o UI 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 PROPOSED IMPROVEMENT LOCATION: Address: 5513 SUNSET BLVD, FORT PIERCE, FL 34982 Residential xx Property Tax I D #: 3402-609-0252-000-3 Site Plan Name: INDIAN RIVER ESTATES-UNIT-08- BLK 58 LOT 34 (MAP 34/11 N) (OR 286-1412) Project Name: DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter C©NSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters Electric Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ _ Generator Sq. Ft. of First Floor: Lot No.34 Block No. 58 Windows/Doors _ Pond _ Roof Pitch Utilities: _ Sewer _ Septic Building Height: OWNER%LESSEE:: CONTRACTOR: Name LARRY & DEBRA BOWLING Name: CHARLES E. LOWE Address:5513 SUNSET BLVD Company: CHARLES LOWE ELECTRIC, INC. City: FORT PIERCE State: _ Zip Code: 34982 Fax: Phone No. Address:452 HERNANDO ST., APT. A City: FORT PIERCE State: FL Zip Code: 34949 Fax: Phone No 772-332-9668 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail CLoweElectriclnc@aol.com State or County License 20941 / ER#0015111 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 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 before the first inspection. If you intend to obtain financing, consult With lonrior nr mn nttnrnov hofnrc rnmmonrina %Ainrk nr rarnrrlina vniir Nntir.p of Cnmmpnrement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA `u ul STATE OF FLORIDA OF COUNTY OF �� COUNTY S)ypfn to (or affirmed) and subscribed before m o� Physical Presence or Online Notari t�i Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this `� day of `t10 Yl/1 f11 rta 2020 by ai • this � day of 1=�0 yJ AGl K 2020 by C Y `S AID. x-Z�r��� �- N� Name of person making statement. y °3 m Name of person making statement. c O N o Personally Known OR Produced Identi 3 c a� 5 /� Personally Known \ 1/J OR Produced Identificati a . N < Type of Identification N O M' "�c�pppp' Type of Identification a c E y Produ d _ o Q T Produced a c°a QD= V Zfn .�W tl (Signature of Not y Public- State of Florida) - State of Florida) (Signature of Not rrqC_UE'0) { �IQ Z1 VI �1 Commission No. (Seal) Commission No. (Seal)• REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. 5/ b/ Lu