HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-1-2021 Permit Number:
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: 11275 Okeechobee Road
Property Tax ID #: 2328-501-0001-000-8 Lot No.
Site Plan Name: Block No.
Project Name: All Contractor Services, Inc./Jamie DiFrancisco
DETAILED DESCRIPTION OF WORK:
Insttall Permanent Service to run Irrigation Pump
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: _
Cost of Construction: $ 800.00
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name All Contractor Services Inc./Jamie DiFrancisco
Name: Joseph E. Herndon Sr.
Address: 1742 SE Lorraine Street
Company: Joe`s Electric of St Lucie Cnty., Inc.
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772 607-4465
Address: 1206 Bell Avenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No 772 465-2363
E-Mail: allcontractor@bellsouth.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail foes@usa.com
State or County License EC13007203
It value of construction is Z500 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: x Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
5ignat e of ner/ Lessee Contractor as Agent for Owner
5i ature of ontractor License Holder
ATE OF FLORIDA
STATE OF FLORID,_
COUNTY OF
COUNTY OF
The forggiing instrument was acknowledged before me
The forgping instrument was acknowledged before me
this= day of .Sc .a � , 202,0 by
this day of J'C3g4 ct g res 20 224)by
Name f person making statement.
Name of persofi making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
�Nolary Public Stale of Florida
Randolph McDaniel
.e � Notary Public State of Florida
r • e My Commission GG 352355
p� E r s 0910712023
, R ndojph MCD iel
f r C4mrrrissio 352355
(Signature o Notary Pub ic- tate o on a
{signature of No ary
Commission No. 4 e1 (Seal)
Commission No.,!� y U~j 262 3 (Seal)
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