HomeMy WebLinkAbout10680 S OCEAN DR 907All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 5 I U 21 Permit Number. ------.--_--.
Ve c Lr-l'-'1 n
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 PANEL REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 10680 S OCEAN DRIVE #907
Property Tax ID #: 4511-516-0094-000-0 Lot No.
Site Plan Name: ISLAND CREST CONDOMINIUM UNIT 907 AND UNDIV SHARE IN COMMON ELEMENTS Block No.
Project Name: AMBROSIO PANEL REPLACEMENT
DETAILED DESCRIPTION OF WORK:
Replace existing main lug electrical panel with new panel.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: l
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters f Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: _ Sq. Ft. of First Floor:
Cost of Construction: 5 1785,00 _ Utilities: — Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name AR V l k? P"V-D$ I 0 _ Name:JAMES MCCONCHIE
Address:1310 NW U STREET #216 Company:
City: WASHINGTON DC _ State: — Address:668 S MILITARY TRAIL
Zip Code: 20009 Fax: City: DEERFIELD BEACH State: FL
Phone No.917-783-0118 Zip Code: 33442 Fax: `
E-Mail: _ Phone No 954-979-5445
Fill in fee simp►e Title Holder on next page ( if different E-Mail permits®elconelectric, Inc.
from the Owner listed above) State or County License EC0001331
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: X Not ApplicableMORTGAGE
Name:
COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City:
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 res(eCommencement.
paying twice for
improvements to your property. A Notice of Commencemen u be rgtoin t�je public records of St.
Lucie County and posted on the jobsite before the first inspe tion. I o Into tain financing, consult
winder or, 'ai ftorney before commencing work or reco ding vo oti
C
Signature of Owner/ Lessee/Contractor as Agent for Owner I Signature of
STATE OF FLORW 1 STATE OF FAIDA
COUNTY OF L ' Gu(- COUNTY OF r CI �v 0 ,a
Swor to (or affirmed) and subscribed before me of
7Physical Presence or Online Notarization
this L.L— day of M r & o O 2021 by
1104 ID 61 OS I &
Name of person making statement.
Personally Known __L'_11 OR Produced Identification
Type of Identification
Produced
re of Notary Public- Sta
Commission N
Svjorn,W (or affirmed) and subscribed before me of
Ph sical Presence or Online Notarization
this J? day of ILL r R 202a by
Name of person making statement.
Personally Known �OR Produced Identification
Type of Identification
Produced
.o .. DLWL MANN
R� �11 COMMISSION # HH
I
EXPIRES: October 27, 2�
'••.ro. n°•• WrAW T N.M Pubs U anYreen W
REVIEWS I FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
of Notary
;;tiPav o�9., LAURIE POLLOCK
n No. Notary Pup�i State of Florida
, o
°9 CCortifission, GG 237010 pi My Comm. Expires Jut 10, 2022
SUPERVISOR
REV EW VREV EW��SRETUR E P REVIEW