HomeMy WebLinkAboutbuilding permit application and electrical drawingAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/23/2021 Permit Number:
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:
Residential X
Address: 149 NE Caprona Avenue, Port St Lucie, FL. 34983
Property Tax ID #: 3419-530-0234-000-2 Lot No.12
Site Plan Name: Block No. 40
Project Name: River Park Unit 4
DETAILED DESCRIPTION OF WORK:
Like for like 200 amp panel change.
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 T Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2150 Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Rachel Rossi Rockwell
Name:Anthony Diodato
Address:149 NE Caprona Avenue
Company: Stott Brothers Electric
City: Port St Lucie State: _
Zip Code: 34983 Fax:
Phone No. (412) 969-9777
Address:385 NE Glentry Avenue
City: Port St Lucie State: FL
Zip Code: 34983 Fax:
Phone N0772-408-4911
E-Mail stottbrotherselectric@gmail.com
E-Mail:
_
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License EC13007910
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.
SUPKEMEfiiTAL CONSTRUCTION LIEN LAIN .INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
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.
1 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 jobsiite before the first inspection. If you intend to obtain financing, consult
with lender or w. attorneybefore commencing work or recur ' our oti ommencement.
as Agent for Owner I Signature of
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 2_�_ day of l2i- - I �,V2W by
11�-zI
Name of person making statement.
STATE OF FLORIDA
t .IAIn
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or r _ Online Notarization
this _aday of� bye
'` aacu+ :1 e
Name of person m king statement. 3
J �
Personally Known,
OR Produced Identification
Personally Known X OR Produced Identification
`n c
Type of Identification
Type of Identification_
11
Produced
Produced
(Signature of Notary Pubt
Signature of Notary Public- State of Florida )
ANNASifLLWELL
ISSION
Commission Na. g 76 5MY
=*:A-D (� � # G� 197659
IEXPIRES:
mmission No. II bSJ {Seal}
A
;�;•
o`= March 19 2022
Boflded Thm Notary P-Wrc Wdenvifte
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
I
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
ELECTRICAL RISER PLAN
NOTTO SCALE
O Underground
Overhead
I 1 �
O
,/— '/� Vvc so"ro
FPL Required -(1M, F or NO (circle one)
FPL Account Number 1-4 6 0 ._Z ZLq Y � j
Meter Number and Picture
2o�
1. Size Service 1— —
��t? i� I �
2. T t`V Conductor Size �----------1
3. a. Meter Main
Nig�ft%`
GROUNDING ELECTRODE CONDUCTOR SIZE:
❑ #
❑ #2
❑ other
CONSTRUCTION TYPE:
PResidential
❑ Mollie Home
❑ New Installation
❑ Old Installation
NOTES: