HomeMy WebLinkAboutPSL Morningside Library Electrical Permit fully executedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 /20/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE:AC Change Out
PROPOSED IMPROVEMENT LOCATION:
Address: 2410 SE Morningside Blvd. Port St. Lucie, FL 34952
Property Tax ID ft: 3420-815-0001-0104 Lot No.
Site Plan Name: Port St Lucie Morningside Library Block No.
Project Name: Port St Lucie Morningside LibraryHVAC Upgrade
0
Electrical SubPermit
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Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank
_ Gas Piping _ Shutters
Electric _ Plumbing
_ Sprinklers _ Generator
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 0.00
Utilities: —Sewer —Septic
_ Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name St. Lucie County
Name: Curtiss Morgan
Address:2300 Virginia Ave
company: Tirone Electrical
City: Fort Pierce State: _
Zip Code: 34982 Fax: 772-362-1704
Phone No. 772-262-1700
Address: 6151 Pembroke Rd
city. Hollwood State: FL
Zip Code: 33023 Fax:
Phone No 954-989-7162
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail kshields@tirone-electric.com
State or County License EC0003059
It value of construction is >zt uu or more, a Ktt,vrcutu rvouce of Commencement is requireu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Salos Obrien Name: NA
Address:3501 Quadrangle Blvd. Address:
City: Orlando State: FL City: State:
Zip: 32817 Phone407-380-0400 Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable I BONDING COMPANY: _Not Applicable
Name: NA Name: NA
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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractorctor/L�Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 57- "C9.i L
COUNTY OF —
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this, day of Rr. 120 21 by
this _ day of a^^ary 20 21 by
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Name of erson 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 Pug -
(Signature of Notary Public- State of Florida )
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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