HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-21-2021 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: {772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 100 SE. Serenata Ct.
Property Tax 1D #: 3419-540-0155-000-5
Site Plan Name:
Project Name: Teri Casablanca
DETAILED DESCRIPTION OF WORK:
Residential x
Replace riser and existing 200-amp exterior mounted panel including new grounding
Lot No.18
Block No. 47
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check
all that apply:
_Mechanical i Gas Tank , Gas Piping
`Shutters Windows/Doors Pond
-[ Electric —Plumbing —Sprinklers
— Generator Roof Pitch
Total Sq. Ft of Construction:
5q. Ft. of First Floor:
Cost of Construction: $ 2,400.00 Utilities: _ Sewer , Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Teri Casablanca
Name: Randy Oliveira
Address:100 SE. Serenata ct.
Company: Go Local Electric. com
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City: Port Saint Lucie State:
Address:660 Se. Monterey Rd.
Zip Code: 34983 Fax:
City. Stuart. State: FI
Phone No.772-626-7104
Zip Code: 34994 Fax: nla
E-Mail:teri02l374@gmail.com
Phone Na772-237-2351
Fill in fee simple Title Holder on next page ( if different
E-Mail info@golocalelectric.com
from the Owner listed above)
State or County License ER13014996
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 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 atto rney before co m m enci ng work or record in & your Notice of Commencement.
=ATEOF
ner/ Lessee/Co r as Agent for Owner Signal Contractor/License H r
ORIDA STATE OF FLORIDA
COUNTY OF—im COUNTY OFMamn
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
this 21 day of Apol2021 2020 b Physical Presence or Online Notarization
Y this Z—day of p 2020 by
Randy aliveira Randy o1weird
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 ol Produced
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