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HomeMy WebLinkAboutPirtle permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Date: l'ulloRTWIT�-� 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: Electric PROPOSED IMPROVEMENT LOCATION: Address: 10751 South Ocean Dr. # B-1 Property Tax ID #: 4511-311-0030-000-5 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Residential X Lot No. Block No. Remove existing source from pedastool to the side of the house. Install new Square D 150 amp meter main combo. Install new feeder (load side) from new meter to new 150 amp interior panel New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: 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: $ 5700.00 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Gary Pirtle Name:William Buehler Address: 10751 South Ocean Dr B-1 Company:All American Air &Electric City: Jensen Beach Statc: _ d Blvd Address'4115 Bany Zip Code: 34957 Fax: City: Ft Pierce State: FL Phone No. 419-633-2009 Zip Code: 34981 Fax: Phone No772-878-5143 E-Mail: E-Mail gcalhoun@aaaeinc.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License EC0002438 If value of construction is z5uu or more, a KrL.UnLJLU If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. P-DESIGNER/ENGINEER: I I I i TIONI ETE X Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 structure. conflict lease consult with applicable owners Association iandrreview your deed foranyrestrictions which may apply. obit such 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/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORkRA STATE OF FLO IDA COUNTY OF LU C Vf— COUNTY OF F f--U` Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of L Physical Presence or Online Notarization ✓Physical Presence or Online Notarization 202 this day of 'IAGru 2020 by LAaO2 this � day of •�( Q by �- r.3 me of person making statement. '"oName of person making statement.APersonally Known OR Produced Identific ire Personally KnownOR Produced IdentificatiType of IdentificationType of IdentificationProduced 3 ProducedM o Si nature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida) ( g �'G-91 ,,�3� ( ) CGg1U.2.33 (Seal) Commission No.._ �__'_ Seal s ti" . Commission No. REVIEWS I FRONT I ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED SUPERVIS REVIEWOR I REVIEW PLANS J I VEGETATIEVIEWON I SEATURTREV EWLE MR VIEWVE