HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/9/2021
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Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772)462-1578
Residential X
PERMIT APPLICATION FOR: Electrical Panel change out-Gumm
PROPOSED IMPROVEMENT LOCATION:
Address: 709 NW Winters Creek Rd/HARBOUR RIDGE -PLAT 20- LOT 1
Property Tax ID #: 4422-810-0011-000-5
Site Plan Name: Panel change out
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 200 amp Challenger panel with new Eaton BR 200 amp 40 space
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.1
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters —Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2000.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Vanessa V Gumm & Christopher C Gumm
Name:Christopher Wisniewski
Address:709 NW Winters Creek Rd
Company: Cardinal Electric, LLC
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.561.789.5957
Address:4983 SW Lake Grove Circle
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No772284.0290
E-Mail:chrisgumm@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail cardinalelectricfl@gmail.com
State or County License 30679/ ER13015454
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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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 andcovenantsthat 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
improveme to your pro y. A Notice of Commencement must be r orded in the public records of St.
Lucie Cou and posted n t e jobsite before the first inspection. I intend to obtain ancing, consult
with I r or an attor b fore commencingwork or recordin Notice of Com ement.
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Si ture of Owner/ Lessee/Contractor as Agent for Owner
Signat of Contractor/License Holder
STATE OF FLORIDA 1
STATE OF FLORIDA
COUNTY OF l (K�t l�
COUNTY OF
!�Vn to (or affirmed) and subscribed before me of
S�n to (or affirmed) and subscribed before me of
Physical Presence or_ Online Notarization
Physical Presence or _Online Notarization
this )� day of TA 202b by
th//i�s day of � 202a by
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Name of person r1naking statement.
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Personally Known OR Produced Identification
Personally Known OR Produced Identification V
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(Signature a Notary
PAMELA D. DAVIDGE.pY
(Signature of Notary s.;, D. DAVIDGE
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