HomeMy WebLinkAboutBuilding Permit Application and DrawingAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/6/2021 Permit Number:
9u
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION: Outside of house
Address: 2315 Atlantic Beach Blvd.
PropertyTax ID #: 1436-602-0015-000-8
Site Plan Name: REV PL OF Fort Pierce Shores - Unit 5
Project Name: Rocha Service Change
Residential X
DETAILED DESCRIPTION OF WORK:
Replace riser, provide & install 200Amp VIi1P Service to replace Damaged existing Service
New Electrical Meter X 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 _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 2800.00
Sq. Ft. of First Floor:
Lot No. 10
Block No. 28
Windows/Doors _ Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name _�6.naldo & Dorina Rocha
Name: Joseph E Herndon, Sr.
Address: 2315 Atlantic Beach Blvd.
Company: Joe's Electric of St Lucie Cnty., Inc.
City: Hutchinson Island State: _
Zip Code: 34949 Fax:
Phone No. 305 904-2984
Address: 1206 Bell Avenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No 772 465-2363
E-Mail: talktoreiroc@gmail.com
Fill in fee simple Title Holder on next page [ if different
from the Owner listed above)
E-Mail joes@usa.com
State or County License EC13007203
IT value or construction is [Suu or more, a MCLIKULL) 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 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 commencing work or recording our Notice of Commencement.
Signat a of ner/ Less a/Contractor as Agent for Owner
Signature o ontr or Licen e Holder
ST TE OF FLORIDA
STA OF FLORIDA
C UNTY OF STLUCIE
CO NTY OF sTUJciE
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 s day of APRIL 2020 by
this 6 day of APRiL 2020 by
JOSEPH E. HERNDON SR.
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
Produced
(Signature of No ary Public- State of Florida)
Produced
(Signature of PKItary i - t t I r
No. �ta18OfFlorida
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