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Building Permit Package
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 02/24/2021 Permit Number: 91r. 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: Electrical PROPOSED IMPROVEMENT LOCATION: Address: 626 Beach Ave, Port Saint Lucie, FL, 34952 Property Tax ID#: 3419-510-0096-000-0 Lot No. Site Plan Name: Block No. Project Name: Deborah Kinsella [DETAILED DESCRIPTION OF WORK. Changing 150 amp panel, like for like with bringing grounding system up to code. 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: $ 1, 900 Utilities: —Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Deborah Kinsella Name: Anthony Diodato Address: 626 Beach Ave Company: Stott Brothers Electric p Y� City: Port Saint Lucie, FL State:— Address: 385 NE Glentry Ave Zip Code: 34952 Fax: City: Port Saint Lucie State: FL Phone No. (307)421-4815 34983 Zip Code: Fax: E-Mail: Phone No 772-408-4911 Fill in fee simple Title Holder on next page(if different E-Mail stottbrotherselectric@gmail.com from the Owner listed above) State or County License EC 13007910 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. 1 z■{ }��}�,}j - �{gy}{ k=., ,., yp :aY"�. ^icy s ,4 ah g� a '"5' X ':'rM.Y°JZ r { ..s t . ustz. _.w 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 Couny 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=orney-before commencine work or recording our oti ommencement. Signa ure of Owner/ tra or as Agent for Owner Signature of Contra r/ ' se Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF AIC I �' COUNTY OF i Sworn to(or affirmed)and subscribed before me of S+n�orn to(or affirmed)and subscribed before me of X Physical Presence or Online Notarization xPhysical Presence or Online Notarization this • day of.- 2020 by this day of ��t. �� .2020 by DI Name of person maki g statement. Name of person making s ! ent. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identifica'on Type of identificat' Produced Produced A I L�C (Signature of Notary Pu (Signature of Notary Public-Sta ,�*W"•MW,.. SAVANNASTILLWELL Y% SAVANNA STILLWEL Commission No. +; :+ fMISSION#GO197s59 : OMMISSION#GO 1 7 9 S March ommisslon No. dw o1. ` l 1 ��� „bs{�A gpiwNilhrul#o�aryl�Ubie�1sj PIRES:March 19, .?F Ry" Bonded Thru Notary PW*UrA in i On raw REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. E��E.. NOTTO SCALE Underground - © Overhead 5Q { u ��I 1. Site Sernce 2- concluctor Size Ex"5�; 3. a.Mom'Main b.Meter Can Only. 190 r: GROUNDING ELECI'R #4 #2 Other -------- CoNgRIC ION TYPE f _---- Resident Mobile Home (� New installation Old Installation NO' •