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Building Permit Application
All APPLICABLE INFO ll/I UST BE C�.Y:r0LETED FOR APPLICAT101y TO BE ACCEP5,,,- ' p Date. 03/21/2021 Permit Number: OC 1©�C)Lion SMo ���� RECEIVED 0 MAR 2 2 2021 Building Permit Application Permitting Deriartmen, Planning and Development Services St. Lucie Count Building and Co de.Jh4- u ntibnDiNsign Commercial Residential X _.__---- 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR:Ele 11O21 PROPOSED IMPRQUFMF_NT LnCAT!tON; , Address: 6404.01eander Ave —r.rpe— �. 41. 3410-331-f1002 0D0 9 p rune rriTrr_ _ __ _ Lve rvvr,. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTIQN"OF WORK: Update electrical circuit wiring for Lentz A/C equipment replacement.Install new circuits and circuit breakers to match A/C equipment nameplate. New Electrical Meter Second Electrical Meter CONST,,RLI CT,I' =fNFORMATI ON Additional work to be performed under this permit—check all that apply: _IVlechancai _Gas Tank _Gas Piping _Shutters _1Nndowslboors _Pond _Electric _Plumbing _Sprinklers _Generator =Roof Pitch "Totef Sq.Ft of Construction: t849 Sq.Ft.of first Floor: Cost of Construction:$ 1400. Utilities: —Sewer _Septic Building Height: OU1/NER%LESSEE. . CONIRACTOR: k. ; NameSteven Holden Name:Jeffrey Thompson Address:6404 Oleander Ave. Company:All Phase Electric Contractors, Inc. City: Fora P06b State: Address:411 Granada Strut Zip Code: 34982 Fax: City: Fort Pierce State:FL Phone No. Zip Code: 34949 Fax: 772 465-2255 E-Mail: Phone N0772 370-5570 rill in fee sitrrtpi�Title Holaer>i�fe ri�rrir:���e it if alfTeren . t-ivraiiellMt from the Owner lasted above) State or County License EC 0002725/SLC 25695 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. �ir�� �vlf✓N 'yrif�CCiiTli�l t� U 11111'viik�iTrE�'� x u DESiGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: L13.J.,�.w.;�.-�.:.., i,.,...�.«..m....� 1 rvi rt:.. ... v..- .: .a� .u.�..�..... ..' f�1,t.1.a.,...--....,�..-.-,.k.,n«w+...,..1 i rvr It... FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: 1 L r''t furid.,_ (OWNER/CONTRACTOR AFFIDVIT:Application is hereby-made to obtain a,permit to do the work and installation as indicated. . 1 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 m paying twice for in7provements to your,pr-ope.rty.A Notice of-Comrnencement>mus-t be�reccrr'dL Jrr.the pu#�fic records bf St. Lucie County and posted on the jobsite before the first inspect'W If you intend to obtain financing, consult With,lender or an attarne. ..before commerici ng work or recor0i nk YcFV r ce'of C`ammeri~in nt. ywo �. .. .�.lel!?,e�1.1�'.t -_�� #3-�,�.1.�►'.�.�,4�ont,�_c,�c fllA�a.?�- Sid 1 ��#, _ .#,�lr,� i cis r. STATE OF FLORI STATE OF FLORID COUNTY OF COUNTY OF ,✓I Swor to(or affirmed)and subscribed before me of Sw-oi`n to(or affirmed)and subscribed before me of Physical P a or Online Notarization v Physical Presence or OnlineNotarization -this�xday�res @ 3y .thisaco:-day of- ,2M -by Jeffrey Thompson Jeffrey Thompson Name of person maki7OR tement. Name of person making statement. Personally Known Produced Identification Personally Known ZOR Produced Identification y�-U'1"'FtlCt'It7tIL"atill'7FY - +,. p vi iucTtrifa.au%rr�l- ,. . duced P o ced MA, )J MEA Vh (Sig ature of o ary ub i0 da bANIELLE B.JEWELL (S g ure of Notary Pub Ic-Sta o,:F i a Notary Public-State of Florida DANIELLE B,JEWELL �f � (S( T fission N GG 937394 Cnmmiee;nn. ._ (93739. Not Y Public-State of Flor da f�mrrnictinrt N9. / t off' = ® —� omrriisslon N GG 93739 ,Fr; My Comm.Expires Dec 5,2023` oF ,,,• My Comm.Expires Dec 5,2 23 FIR 14 It REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE :f{tC:�lli=i7' DATE COMPLETED I:fe—v. 0