HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: 03/24/2021 Permit Number:
Ll�l�D� �,
RECEIVED
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APR - 6 2021
Building Permit Application
Permitting Department
Planning and Development Services St. Lucie Count/
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982 1
Phone: (772) 462-1553 Fax: (772) 462-15,78 O ��
PERMIT APPLICATION FOR: ELECTRICAL GATE
',.PROPOSED IMPROVEMENT LOCATION:_ MID. PROPERTY TO SEPERATE PUBLIC.& PRIVATE ACCESS
Address: 2590 N KINGS HWY, FORT PIERCE, FL 34951
Property Tax ID #: 1336-231-0001- j Lot No. METES
Site Plan Name: N/A Block No. N/A
Project Name: ELECTRICAL GATE
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DETAILED DESCRIPTION OF WORK:
INSTALL AN ELECTRICAL GATE TO SEPERATE PUBLIC AREA FROM PRIVATE AREA BUT ALLOWING TRUCKING ACCESS
New Electrical Meter N/A
Second Electrical Meter
CONSTRU,CTIOR INFORMATIQN:
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: r Sq. Ft. of First Floor:
Cost of Construction: $ ) , S DO 0-6 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameWHEELS. LEASING LLC
Name:
Company: ECS SECURITY AND ELECT ICAL INC
Address:2590 N KINGS HWY
City: FORT PIERCE State: _
Zip Code: 34951... „ Fax:772-318-0015
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"772 464-4"1'60
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jVa l�frgntdesk`@south�ern[usscorR'7
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Fill in fee, simple Title Holder on next page (if different
from the Owner listed above)
Address: PO BOX 1130
City: JUPITER. State. FL
33468
Zip Code: Fax:
Phone No 772-233-1723 "
E-Mail ECSFLUS@AOL.COM
State or County License EC13003866
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.
O�AoNg go �o Ou�r���•
SUPPLEMENTAL CONSTRUCTION LIEKLAW INFORMATION;
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: Not Applicable
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.
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 and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lendo"r-ol an attornev before co'mmenciniz work or recordine vour Notice of Commencement.
Signature of O er/ Lessee/Contracleas Agent for Owner
Signature of on rac or a Holder
STATE OF FLORIDA j
STATE OF FLORI r-
COUNTY OF STLUCIE
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Swop -Co (or affirmed) and subscribed before me of
xx Physical Presence or Online Notarization
✓ Ph sical Presence or Online Notarization
this 25 day of MARCH , 2020 by
this day of/� , 2020 by
Name of person making statement.
Name of person making statement.
Personally Known xx OR Produced Identification
Personall Known OR Produced Identification
Type of Identifica ion
Type of I ntification
WL'31"
Produced
3k
Produce
k A- Pf r /N�_
(Signature otary Public- State o lorid )
(Signa)fure o Notary Public- State of k&ida )
P.
Commission No. "" TINA> ¢�IRGEITE
Commission No. r TII�$ I)FORGETTE
MY COMMISSION # GG 145108
MY COMMISSION # OG145108
EXPIRES:
Rm 2 21
OFFLOP September 20, 2021
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Kev. 5/ b/ zu