HomeMy WebLinkAboutPermit - Phil Davis 137 DOMINION CT_000418All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/15/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 137 DOMINION CT
Property Tax ID #: 1414-701-0116-000-2
Site Plan Name: 14/34S/40E
Project Name:
DETAILED DESCRIPTION OF WORK:
Install (2) light post in rear of residence switched by a timer on rear porch
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
_ Electric —Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2,100.00
_ Generator
Sq. Ft. of First Floor:
Residential X
Lot No._
Block No.
_ Windows/Doors _ Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
j CONTRACTOR:
Name Philip Davis
Name: Daniel Stubbs
Address: 137 DOMINION CT
Company: S&W Electric; Inc i
City: Fort Pierce State: _
Zip Code: 34949 Fax:
Phone No.
Address: 501 W Coker Road j
i City: Fort Pierce State: FL
Zip Code: 34945 Fax:
I Phone No 772-464-6466
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail stuboutelectric@aol.com
State or County License EC13007544 SLC 30071
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 that
and covenants 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.
Signature of 0 ner essee/Contractor as Agent for Owner
Signature of Con actor/License Holder
STATE OF FLORID
STATE OF FLORIDA
COUNTY OFA `fit
COUNTY OF f LiC h-�C
Sworn to (or affirmed) and subscribed before me of
Swo to (or affirmed) and subscribed before me of
✓P iical Presence or Online Notarization
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VPhy ical Presence or Online Notarization
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this of 1'1� a ✓ 202a by
this /�7�ay of /'Ii eLv' 202® by
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Name of person making statement.
I Name of person making statement.
Personally Known .i OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Propuced
I Produced
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(Signature of Notary Public- Stat
Jilgi ture of Notary Public- Stat o a
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Commission No. =p: rsslon;rHH013089
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Com fission No. ., is*n # HH 013089
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DATE
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Rev. 5/6/20
Noma
7019