HomeMy WebLinkAboutBuildingl permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
LL LL.
i ,-
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: 400 amp electrical meter main installation
PROPOSED IMPROVEMENT LOCATION:
Address: 355 SMALLWOOD AVE, Fort Pierce, FL, 34952
Property Tax I D #t: 3403-805-0163-000-7 Lot No.
Site Plan Name: Electrical Block No.
Project Name: 400 amp electrical
I DETAILED DESCRIPTION OF WORK: I
Installation of a 400 amp electrical panel on the property
New Electrical Meter NEW Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
X Electric
_Gas Tank
_ Plumbing
Total Sq. Ft of Construction:.
Cost of Construction: $ 2400
—Gas Piping
_Sprinklers
_ Shutters -Windows/Doors _ Pond
`Generator
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Susan L Curell
Name: George Ruiz
Address: 355 Smallwood ave
Company: Imperium Electric Ilc
City: Fort Pierce State: FL
Address: 265 SE VERADA AVE
City: Port Saint Luice State: FL
Zip Code: 34952 Fax:
Phone No. 7722370318
Zip Code: 34983 Fax:
E-Mail: imperiumelectricllc@gmail.com
Phone No 7724447040
Fill in fee simple Title Holder on next page (if different
E-Mail imperiumelectricllc@gmail.com
from the Owner listed above)
State or County License EC13009338
It value of construction is ZSuu 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 mu r corded in the pu lic records of 5t.
Lucie County �rRi a ted on the jobsite before the first inspecti . If u,nd �p obtai Inancing, consult
with lPndPr r anlf�,t nrnev heforP enmmPnrinu wnrk nr rpro tnE v ,ffi' Ice�"Com ncement.
Signature of Own essee ntractor as Agent for Owner
Signature n r nse Hol er
STATE OFF RIDA
STATE F FLORIDA
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Name of person nVaking statement.
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Type of Identification
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Type of Identification
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Rev. b/b/LU