HomeMy WebLinkAboutBuilding Permit Package All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
U- IL c EE a c CA) - -- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: & ��
PROPOSED IMPROVEMENT LOCATION:
Address: l uo�A EcAP0 KC
Property Tax I D#: 00Q-W4 p- M-)• Lot No.
Site Plan Name: Block No.
Project Name: __) aom CQ�M_ r!A
DETAILED DESCRIPTION OF WORK:
�- CAWt 77
,q�pS
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
,�k Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: � (n Sq. Ft. of First Floor:
Cost of Construction: $ Z(OM Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name _ t Name: l)
Address: 7(-e) C4 t`�� Company: 8�f be EVC'IT 7 C
City: T('Z(' 4-- State: P(., Address: S
4 T'
Zip Code: ( 3 1 Fax: ti/A City: D�1 Stater
Phone No. 7 72--(46,-7 - (, Zip Code: M) Fax:
E-Mail: Phone No-)—)—)
Fill in fee simple Title Holder on next page(if different E-Mail ke i
from the Owner listed above) State or County License E
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 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 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 attorney before commencing work or recording our Notice of Commencement.
Signatu of Owner/Lessee/Contractor as Agent for Owner _ Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Z4 . C.C.! ci a COUNTY OF J i- Lam(;
Sr'to(or affirmed)and subscribed before me of Swgrn to(or affirmed)and subscribed before me of
7Physical Presence or Online Notarization J Physical Presence or Online Notarization
this 3 day of M 4 r cN 2021 by this!�L day of.M,4,GClf 2021 by
-PAIL �_a XA A'oo PA(d- /L o M /9'A-J0
Name of person makingstatement. Name of person making statement.
Personally Known V/ OR Produced Identification Personally Known -I,/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
�C m. �lw
ign ue,sP c q-� k6��"ftida (Signa
aP Dena M Fullwood
M Comrrusswn HH 054334 .r«'c�, Notiry Public Sfate d Plonds
Com o Y (Se ) Comm s `F- Dena M FulMood (S 1)
a"y • My omrr WOn 054334
9- w" Exputs 10/1&2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20
ELECTRICAL RISER DIAGRAM,
NOT TO SCALE
T
For any other electric�at applications apply Florida Building Code 107.3.5 Electrical
1. Wiring;Services;Feeders&Branch Circuits;Over Current Protection;Grounding;Wiring Methods&Materials;GFCI
2. Equipment
3. Special Occupancies
4. Emergency Systems
5. Communication Systems
6. Low Voltage i
7. Load Calculations
8. Design Flood Elevation
nderground
Overhead
I.Size Service:
2. Conductor Size: CU F Y ALUM(
3.a.Meter Main: ❑
b.Meter Can Only:
E6
Glyounding Electrode Conductor Size
0196
#4
❑ #2
Other CONSTRUCTION TYPE:
2/Residential
Dual Electrodes or Test Required ❑ Mobile Home
❑ New Installation
❑ Old Installation
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