HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/24/2021 Permit Number:
Building 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: 7226 S US HIGHWAY 1
Property Tax ID #: 3422-132-0001-000-8
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No. _
Add (1) rececptacle for pedicure chairs, Add (1) receptacle for tool sterilizer, Add (1) receptacle for tow[ warmer
Add 1 receptcale for 1100 watt water heater, ALL to be GFI protected
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
chanical _ Gas Tank —Gas Piping _ Shutters
V Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 800.00
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Grimes Plaza II LLC/James Grimes
Name: Lawrence Stubbs
Address: 7202 S US HIGHWAY 1
Company: S&W Electric, Inc
City: Pt St Lucie State: _
Zip Code: Fax:
Phone No.
Address: 501 W Coker Road
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No 772-201-7320
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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E-Mail stuboutelectric@aol.com
State or County License EC13006897
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If value of construction is 2500 or more, a RECORDED Notice of Commencement is requirea.
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: I
Name:
Address: i
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: lNot 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 Countymakes 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 your Notice of Commencement.
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Signature of Owner/ lessee/Contractor as Agent for Owner
I Cooense Holder
STATE OF FLORIDA
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STATE OF FLORIDA
COUNTY OF. Z�.�.c i
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
X P�h�ysicai Prese ce or Online Notarization
thi�o-? O day of ✓ -,-,( 2020 by
Sworn to (or affirmed) and subscribed before me of
X Ph sical Presence or Online Notarization
this ay of 2020 by
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Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
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Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Signature of Notary Pt�12
! LAURA R. CUBSEDGE
Commission No.LA : ` Commisslos4*013089
Expires October 21, 2024
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COMPLETED
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Rev. 5/6/20