HomeMy WebLinkAboutSLC Permit App_Jax Broadcaster20210303_15040396All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/03/2021
Permit Number:
'J1ro
V LW ° kM Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 3601 Industrial 3 Avenue
Property Tax ID #: 1429-501-0118-000-8
Site Plan Name:
Project Name: Jacksonville Broadcasters
DETAILED DESCRIPTION OF WORK:
See attached plans. Install new wire to AHU and two new condenser whips and breakers.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: 14 Sq. Ft. of First Floor: / /A
Cost of Construction: $ 1350.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
NTRACTOR:
Name Jacksonville Educators Broadcasting, inc
Name: Michael Pride
Address: PO Box 721800
Company: Pride Electrical Services of FL
City: HoustonTX State: _
Zip Code: 77272 Fax:
Phone No. 772-461-2777
Address: 843 S Kings Hwy
City: Fort Pierce State: FL
Zip Code: 34945 Fax: 772-461-2778
Phone No 772-461-2777
E-Maik
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
E-Mail mike@pride-electrical.com
State or County License EC1300-5859
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: * 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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed or 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 record the public records of St.
Lucie County and pasted on the ' sl before the first inspedi ou in nd to cilbtain financing, consult
with lender n attorne a re comi;Ihencing work or re linlg youflktice of Ccirnmencement.
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SignaturJ1
qf Owher/ Lessee/ContrX,4br as Agent for Owner
Wn6tirre of Contrac or/ cense Holder
STATE OF FLORIDACac�c-
STATE FOFORIDA
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COUNTY OF
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Swor o (or affirmed) and subscribed before me of
Swor (or affirmed) and subscribed before me of
al Prese ce Online Notarization
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Personally Known Produced Identification
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(Signature of Notary Public-- State of Florida )
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