HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 5, 2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Stryker Electrical Contractin
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Address: 3239 NW Perimeter Rd
Property Tax ID#: 4436-510-0022-000-4 Lot No. 18
Site Plan Name: Block No.
Project Name: Lee Residence
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Replace the existing panel and replace with a 200amp panel
New Electrical Meter Second Electrical Meter
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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: Sq. Ft. of First Floor:
Cost of Construction: $ 2000 Utilities: _Sewer _Septic Building Height:
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Name Jeffrey Lee Name:John P Wehle
Address: 3239 NW Perimeter Rd company:Stryker Electrical Contracting
city: Palm City State:_ Address:4241 SW High Meadows Avenue
Zip Code: 34990 Fax: City: Palm City State: FI
Phone No. Zip Code: 34990 Fax: 772-219-3242
E-Mail: Phone No 772-219-3389
Fill in fee simple Title Holder on next page(if different E-Mail j.bryan(o)stryker-electric.com
from the Owner listed above) State or County License EC13003485
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.
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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.
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Signatul of Ow er/Less¢ Contractor as A ent for Owner Sig ature o Contractor/License Holder
STATE OF FLORIDA
S ATE OF FLORID
COUNTY OF I�Ihb COUNTY OF C41✓fl. .
Sworn to(or affirmed)and subscribed before me of Swo n to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization hysical Presence or Online Notarization
t is Z day of V Y1(r A 2020 by this day of GI-{ 2020 by
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Name of person making statement. Name of person making statement.
Personally Known-$—OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
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