HomeMy WebLinkAboutBuilding Permit Application- ELECTRIC ADT 2103-0687All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 19,2021
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Building Permit Application 16
Planning and Development Services
Building and Code Regulation Division Commercial, x Residential
2300 Virginia Avenue, Fort Pierce FL 34982,
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: TPH Holdings LLC
.RROPOSED MP`R--I MINT LOCATION: r °
Address: 3053 Industrial 31st St
Property Tax ID #: 1429-501-0035-000-2 '
Site Plan Name: TPH Holdings LLC
Project Name: Fire Add -on
DETAILED 1DESCRIPTION,OF WORK:
TPH is adding (2) flow switches and (3) tamper switches to existing Fire Alarm Build. Due to a sprinkler build out.
New Electrical Meter - Second Electrical Meter
CONSTRUCTION:'I NFQRMATIO'N. .
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
X- Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 8256.00
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE_: F
CONTRACTOR:,
Name TPH Holdings LLC
Address: 10321 Fortune Pkwy
Name: Edward Pleffner
Company: ADT Commercial LLC
City: Jacksonville State: _
Zip Code: 32256 Fax:
Phone No.
Address: 3150 SW 42nd Ave
City: Palm City State:. FL
Zip Code: 34990 Fax:
Phone No 7722322001
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Palmcitypermits@adt.com
State or County License EC13004155
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.
6
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: (State:
City: State:
Zip: Phone I
I
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 mayy 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 attornev before commencing work or recording your Notice of Commencement. .
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Signature o Contra. or/Licen a Illolder
STATE OF FLORIDA . .
COUNTY OF Marti 0
Sworn to (or affirmed) and subscribed.before me of
�. Physical Presence or Online Notarization
thisift.dayof MIQrr�/� 2020 by
Signature o, Contrac or/Licen a older
STATE OF FLORIDA
COUNTY OF " M.0 rti 0
Sworn to (or affirmed) and subscribed before me of
". Physical Presence or Online Notarization
this �ft day of Ma.rr26— 2020 by
award I Ie ffner I cdward I Icftner-
Name of person making statement. I Name of person making statement.
Personally Known /` .
Type of Identification
Produced
Commission No.
REVIEWS
DATE
RECEIVED
OR Produced Identification
Personally Known " OR Produced Identification
Type of Identification
Produced
- State of Florida)
(Signature o o aryPublic- State of Florida )
Commission No. TAVERAS'
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