HomeMy WebLinkAboutPermit App Signed All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 417121 Permit Number: FL
O
V >✓ p Building Permit Application
Planning and Development Services
Building and Code Regulotion Division Commercial Residential YES
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax. (772)462-1578
PERMIT APPLICATION FOR: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 1686 NW Buttonbush Circle
Property Tax ID#: 4426-840-0010-000-3 Lot No 09
Site Plan Name: Block No.
Project Name: Chris Campbell
DETAILED DESCRIPTION OF WORK:
Replace existing 200amp Main breaker panel with new 200amp main breaker panel
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: $ 2860.06 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Chris Campbell Name:GEORGE G SANCHEZ JR
Address: 1686 NW Buttonbush Circle Company:EXCEL ELECTRIC LLC
City: Palm City State:_ Address: 1391 SW BELLEVUE AVE
Zip Code: 34990 Fax: City: PORT ST LUCIE State: FL
Phone No.772-336-8681 Zip Code: 34953 Fax:
E-Mail:cbcampbe115252@gmail.com Phone No 772-529-1091
Fill in fee simple Title Holder on next page(if different E-Mail EXCELOFFICE77@GMAIL.COM
from the Owner listed above) State or County License EC-13006483
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: 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 dothe 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 en o obtai ncing, consult
with lender or an attorneybefore commencingwork or recordin ur Notic f Cpwfiienceyhent.
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Signature of Owner/Lessee/Contr ctor as A ent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF `�—� �1.!(� COUNTY OF 9T LUCIE
Sworn to(or affirmed)and subscribed before me of S�n to(or affirmed)and subscribed before me of
Ph, sical Pr nce or Online Notarization Physical Pres ce or Online Notarization
this 1o�'= Pres.
of 1 202 by this L day of 2020 by
Chris Campbell GEORGE G SANCHEZ JR
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known X OR Produced Identification
Type of I ntification Type of Identification
Produc Li Produc d o�
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ignature of tart' Signature of ary P ly& r
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Commission No. ;� Ashley Si�y Ashley S1 iamany
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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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