HomeMy WebLinkAboutBuilding Permit Package All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '5/3 Permit Number:
na-
RECEIVED
97.
p APR -
° Building Permit Application DP-partrner`
permittir+9 �Gunt„
Planning and Development Services SL Lucia
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
RROP05ED IMPROVEMENT LOCATION,
Address: oil
Property Tab ID#: .3 ' .�•• 7 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRfPTIONOF 1NORK
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
✓ElectricMe _Plumbing —Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ ISO. 0C) Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE CONTRACTOR ;
Nam •CO Name:
Address: Company
City;
State L Addres •
Zip Code: 349 6/ Fax: City State:
Phone No. 77 a� �� 9• 0�•3 g Zip Code:.3#914'5 Fax: la/- 72
E-Mail• Phone No �G/� .2277
Fill in fee simple Title Holder on next page(if different E-Mailm;4eeDn 'eJge--hzi�L • c
from the Owner listed above) State or County License Ea 1 200- 86 9
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 CONSTRUCTIOIV°LEI' N"LAW4INFORMATION
,..-.hid .«?.>...<- 1.s. M sf�.° r ..-::,r✓ ,J �_.. _ 'h x.<=s. ....�..;} .si< r.,.'.�. .w.. a..t Jw au, a x �-,,E.,a.«x -,;- .i 4 r, ,
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: (Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Y 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 the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attaf—hev mefore commencing work or record mmurlTotice of CoffiRoncement.
Sig ature of Owner)Le Je_Cdntractor as Agent for Owner Signatur of Contractor/Lice n older
STATE OF FLORID STATE OF FLORID �,
COUNTY OF� L�u f COUNTY OF � �rC.,
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
VP—h,v,sical Presence or Online Notarization ysical Presence or Online Notarization
this 3 day of M e ft,, ,2024 by this SEt� ay of 2029 by
Name of person making statement. Name of person making statement.
Personally Known C�-'011 Produced Identification Personally Known_��OR Produced Identification
Type of Identification Type of Identification
Pro Produced
(Signature of Notary Public-State of'Florida. (Signature of Notary Public-State of Florida)
otA rA� UW Raymond Prue Ott David Raymond Prue
Commission No. �'5 � OF FLORIDALICCommission No. �� S NOTW� BLIC
_STATE OF FLORIDA
�. Comm#GG287052 a Comm#G0287052
T1s Expires 1 2 a Expires 1 6/2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Interior
Notes:
-All Electrical to be Installed per the National Electrical Code
-Change the electrical panel like for like
Existing
NEW - Uc# EC1300-5859
MCB PANEL
M
O -
Existing 41 17Z
Meter Existing Service Equipment:
Existing
Existing
Voltage Phase Hertz Panel Connections
120/240V 1 60 Wires(A, B,Neutral,Ground) _: z
„��•,; e'fe��'@� s t PRIDE ELECTRICAL SERVICES
=€� �b�S � 6 OF FLORIDA.MC
Location:Fort Pierce FL
1I�a43 S.Kings Hwy 7IIE7n--t61-2)77) .
I
FLORIDA �@ B A.���P Cie U/ I Fort Pierce,FL 34945 FaSTi±-161-±775
I
RECEIVED
APR-6 7071
Permitting rapartment
Si.L to Count-