HomeMy WebLinkAbout21040236All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -\ 1'%'Q.1 Permit Number: a1aA - Oal3ro
�'Y fl i7 C E RECEIVED
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Building Permit Application
Permltllrg Department
Planning and Development Services St. Lucie County
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
PROPOSED IMPROVEMENT LOCATION:
Address: 119 DEVONSHIRE DRIVE, FT. PIERCE, FL 34946
Property Tax lD #: 130� ���' 4�� "5 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
ELECTRICAL INSTALLATION FOR A/C AIR COMPRESSOR AND AIR HANDLER
New Electrical Meter $1,800 Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ \ 1 $00 •a�
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
_ Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameGRAPE LEAF PARK LLC
Name:JOAQUIN J. RIVERO
Address: PO BOX 6467
City: LAKE WORTH State: _
Zip Code: 33466 Fax:
Phone No.
Company:AABAA ELECTRICAL SERVICE
Address:5951 NW 201 LANE
City: HIALEAH State: FL
Zip Code: 33015 Fax:
Phone N07863707840
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailVRCAYON1964@GMAIL.COM
State or County License EC13006533
It value of construction is Z500 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
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before corXimencing work or recording our Notice of Commencement.
Y /
ell
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFLuCIE
COUNTY OFLuCIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this 31 day of MARCH . 2020 by
this 31 day of MARCH . 2020 by
C) aq V \,
T440y1il/
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Pro
Pro
(Signature of Notary Publi State of Florida)
Commission No. GG29b� PUBS% PEDRq pNSO
* * ommission # GG 297802
' ;,A � ExplresFebrua 23,2023
(Signature of Notary P blic- Sta%,of Florid
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Commission NO. GG297�2 * �•' * Co�s*n#GG297802
, o� Explres February 23, 2023
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