HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�LR1� ti.
U L c I� c C." 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 - New RV Panel
PROPOSED IMPROVEMENT LOCATION:
Address: 430 Nettles Blvd, Jensen Beach, FL 34957
Property Tax ID#: 4502-501-0616-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Ferro Residence
DETAILED DESCRIPTION OF WORK:
Remove existing pedestal, build rack and install new RV panel.
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 _Windows/Doors _Pond
x Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction. $ 1698.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name James Ferro Name: Donald Green
Address:430 Nettles Blvd Company: Don Green Electric
City: Jensen Beach State:_ Address: 1305 W 1st St
Zip Code: 34957 Fax: City: Fort Pierce State: FL
Phone No. (781) 775-1200 Zip Code: 34982 Fax:
E-Mail:j1 mmy0426@comcast.net Phone No(772)418-5739
Fill in fee simple Title Holder on next page(if different E-Mail permits@dongreenelectric.com
from the Owner listed above) State or County License EC13007447
Lfvae of construction is 2500 or more,a RECORDED Notice of Commencement is required.
e 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 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 pos ed on the jobsite before the first insp ction. If you intend to obtain financing, consult
with I der or an a me before commencingwork or r o ing your Noti e f Commencement.
Signa caner/Lessee ontractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF a. � '��✓-I
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
�'_ Physical Presence or Online Notarization �" Physical Presence or Online Notarization
this I day of N I'?-i L 2020 by this l day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known `f OR Produced Identification Personally Known�_OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-Sta ture of Notary Public-Sta LAURIE PHILLI S
LAURIE PHILLIP
U 11 11,
P�vp i
t_ Notary Public-State of Florida 1, ?=°gyp '��Not ry Public-State of to da
Commission No, -� 7��t• i _N Aial�ommission#HH 8 8Wm ission No. _A �Q Se k,mission#HH 87 6
OF K'�.��� My Commission Ex)fires ���'F OF FL°���br
My Commission Exp r
February01,2025 ''1,Ji", February01,2025
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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