HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
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Building Permit Application
Planning and Development Services St'ttny, y
Building and Code Regulation Division Commercial x ResidentiaY`'P
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: 100 AMP Meter Stand for 5HP Irrigation Pump
PROPOSED IMPROVEMENT LOCATION:
Address: 9461 Brandywine Lane, Port St. Lucie, FL
Property Tax ID #: 3327-808-0003-000-4 Lot No. 4
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
i
Install 100 AMP Meter stand for 5HP Irrigation Pump
New Electrical Meter X 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
�lectric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ �`jC/U Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name School Board of St Lucie County
Name: John Cavnar
Address:9461 Brandywine LN
Company: Goldstar Electric, Inc.
City: Port Saint Lucie State: _
Address: 213 NE Sagamore Terrace
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No.
Zip Code: 34983 Fax:
E-Mail:
Phone No 772-380-5913
Fill in fee simple Title Holder on next page ( if different
E-Mailjohnc@goldstar-electric.com
State or County License 23575
from the Owner listed above)
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
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
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 in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Luc' County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
Luc'
an attorney before commencing work or recording vour Notice of Commencement.
re of Owner/ Lessee/Contractor as Agent for Owner I Anatte of Contractor/License Holder
STATE OF FLORIDA / STATE OF FLO
COUNTY OF i)� AWJ,;2� I COUNTY OF LE".1clt.,e_
Savor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of� f2020 by
Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this day of NaAZZO'L�.by
(1 O)a n C m yn ovl�
Name of person making statement.
NaYne of person making statement.
Personally Known OR Produced Identification
_
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Personally Known OR Produced Identification
Type of Identift ton
Type of Identification
Produced
Produced
1
' nature of Notary Public- a of t1oricla)
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(S gnature of Notary Public- St o6f ida*tary Public State of Florid
Commission No. (Seal)
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j Paola Bautista Garcia
mnussion HH 06368
Commission No.
�aw� (� s 11i15/2024
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