HomeMy WebLinkAboutDaniela Permit Packet Application - PanelAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/03/2021 Permit Number:
T Li.IC1E
INNT�Y
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 147 NE Naranja Ave, Port Saint Lucie, FL, 34983
PropertyTax lD #: 3419-530-0193-000-2
Site Plan Name:
Project Name: Daniela Orciso-Urrutia
DETAILED DESCRIPTION OF WORK:
Like for like 200 amp, panel change with updated grounding system.
Residential X
Lot No._
Block No.
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:
OWNER/LESSEE:
CONTRACTOR:
Name Daniela Orciso-Urrutia
Name: Anthony Diodato
Address: 147 NE Naranja Ave
Company: Stott Brothers Electric
City: Port Saint Lucie, FL State: _
Zip Code: 34983 Fax:
Phone No. (772) 302-0467
Address: 385 NE Glentry Ave
City: Port Saint Lucie State: FL
Zip Code: 34983 Fax:
Phone No 772-408-4911
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
if
E-Mail stottbrotherselectric@gmail.com
State or County License EC 13007910
- --- ---- — -1-1 a nwWnvw IvvlaI-C vI %mmmencement Is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINIfR: � Not Applicable
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MORTGAGE COMPANY:
� ,' ,rz� ...
Not Applicable
Name:
Names —
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:
UWNtR/ 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 Horne 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 attnrnev hefnre rnmmQnrino wnrie nr rarnrriina vniir Nnticnaf t'nmmonramont
C� ( F
N.
Signs ure of Owner/
Ira or as Agent for Owner
Signature of Contras / '
se Holder
STATE OF FLORIDA
STATE OF FLORIPA
COUNTY OF
,
COUNTY OF,s�t
Sworn to (or affirmed) and subscribed before me of
Sw rn to (or affirmed) and subscribed before me of
Physical Presence or
Online Notarization
Physical Presence or
Online Notarization
this 3b day of -10
this day ofi'cjvz✓�,
202* bye
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Name of person m P statement.
Name of person makin tement.
Personally Known OR Produced identification
Personally Known OR
Produced Identification
Type of identification
Type of Iden=,-
( .�r
ProducedProduced^
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L�
(Signature of Notary Public-
gnature of Notary Public
Commission No. 19 `/ �S`(
SAVANNASTILLWELL
':
l�I i1WISSION # GG 19765
a
mission No. / �'7 5 ""%
: t?`•�rp`"�ri AVANNASTILLWELL
:.: ;. M VISSION # GG 19M
EXPIRES: March 19, 2022
-tans
pubuc Undo
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:,, e; S: March 19, 2022
FOF Boded Ttn Notary p Undenvrll r
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ELECTRICAL RISER PLAN
NOTTO scam
O Underground FPI. R
eq
Overhead ulred ,Y—ES, or NO (circle one
FM. AcwUnt Number
Deter Number and Picture C - r, Z a�
6.
,1 AIP.I i
2.0 �
I. Site service
�e
2. - Conductor size � o A )""A.
I a. Meter Main ❑
b. Meter Can Only:
GROUNDING ELECTRt)DE CONDUCTOR SIZE.
❑ #6
❑ #2
❑ Other
CONSTRUCTION TypL-
Residential
❑ Mobile Home
0 New installation
❑ Old Installation
NOTES:
V'-� e t C, (1