HomeMy WebLinkAboutPermit Application - Perrell_Edgar - SLCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 10, 2021
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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: EleCl.rical
PROPOSED IMPROVEMENT LOCATION: Outdoors of house
Address: 7501 Kenwood Road, Fort Pierce, FL 34951
Property Tax ID #: 1302-810-0083-000-2
Site Plan Name: Lakewood Park Addition No 1 - Blkd Lot 8
Project Name: Ferrell Residence -electric
DETAILED DESCRIPTION OF WORK:
Residential xxx
Lot No.B
Block No.
existing riser that is bent and replace with new 2" ridged with new weatherhead and 2/0 awg wire. Also install new
grounding system per NEC
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
J Electric
_Gas Tank
_Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
_Gas Piping
_Sprinklers
_Shutters
_Windows/Doors _Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Edgar Robert Perrell
Name: Christopher Shaw
Address:7501 Kenwood Road
Company:FPL Home Services
City: Ft. Pierce State: _
Zip Code: 34951 Fax:
Phone No.772-460-1613
Address: 6001 Village Blvd
City: West Palm Beach State: FL
Zip Code: 33407 Fax:
Phone No 561-747-5740
E-Mail:tper7529@gamil.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailjennifer.schillinger@fplhs.com
State or County LicenseEC13009228
It 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 lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ LqKsebJQQnt for Owner
Signature of Contractof/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF St. Lucie
COUNTY OFst.Lucie
S or to (or affirmed) and subscribed before me of
Physical Pre n e or Online Notarization
this day of r 2021 by
Swo to (or affirmed) and subscribed before me of
✓✓ Physical Prese a orOnline Notarization
this day of111HAATLAJ 202P by
<hy'Jw6r �
I U
Name of person thaking statement.
Name of person making statem nt.
Personally Known A. OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Si na ure of ary
r° F Notary P lie le of Flonda
Commission No,, Jennifer S 'clinger
My Gem G974855
wM1 Expires 10/0&202J
(Signa u e of EbfiPiOrd
No Public Stale of Fbnda
? JennlferASchiiling
Commission - �ston GG 9/�9aI)
OFn Expires 10/08/2023
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