HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
9 .LAG
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a . . -- Building pp 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:Relocate Panel
PROPOSED IMPROVEMENT LOCATION:
Address: 7401 PENNY LN, Fort Pierce, FL 34951
Property Tax ID#: 1301-607-0295-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Gallegos Residence
DETAILED DESCRIPTION OF WORK:
Relocate panel from clothes closet to side wall,use existing panel box as a j-box.Remove meter and install meterlmain,re-wire ac unit.
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:$ 2489.00 Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Juan Gallegos Name:Donald Green
Address:7903 Eden RD Company:Don Green Electric
City: Fort Pierce State:_ Address:1305 W 1st St
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No. (772)519-8706 Zip Code: 34982 Fax:
E-Mail:texasj24@icloud.com Phone No(772)418-5739
Fill in fee simple Title Holder on next page(if different E-Mail Permits@dongreenelectdc.com
from the Owner listed above) State or County License EC13007447
F
alue of construction is 2500 or more,a RECORDED Notice of Commencement is required.
alue 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 poste on the jobsite before the first inspect If you intend tp obtain financing, consult
with ran atto before commencing work or reco n our Notice lKornmencement.
j
n ure of wner/Lessee/Contractor as Agent for Owner Signatu of Contractor/License o►der
ATE OF FL RIDA STATE OF FLORIDA
UNTY OF A'-0UVAIV-1 COUNTY OF
Sw rn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
hysical Presence or Online Notarization )iQ Physical Presence or Online Notarization
this—I_day of `-v—f i 12020 by this I day of 2020 by
bor 6,11 G reeve DO621 reeA-\
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known_�OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public St LAURIE PHIL I re of Notary Public-St LAURIE PHILLI S
1 ,
otery Public-State f Florid® Notary Public-Stet®of F o a
Commission No. 7 2 • I Commission a HH ZIm ion No. '• •4Sr +misaion it HH 87 8
My Commission Expires %+�a`\ My Commission Exp
ana\\' February01,2 25 "��, ��\"` February 01,2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED _
ev.5/6/20