HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
�� LOLL
`' ` `' K' 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: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 5500 Saint Lucie BLVD, Lot C7, Fort Pierce, FL 34946
Property Tax ID #: 1430-331-0002-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Garren Residence
DETAILED DESCRIPTION OF WORK:
Mount sub -panel in shed, pull ac from outside pedestal and install 50amp breaker to feed shed.
Dig ac back install in shed panel as well as feeds for washer and dryer and a couple general receptacles.
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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 400.00
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: -Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Jimmy and Carole Garren
Name: Donald Green
Address: 5500 St Lucie Blvd, Lot C7
Company: Don Green Electric
City: Fort Pierce State: _
Zip Code. 34946 Fax:
Phone No. (772) 519-1847
Address:1305 W 1 st St
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No (772) 418-5739
E-Mail: garren109@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail permits@dongreenelectric.com
State or County License EC13007447
if value of construction is 2500 or more, a RECUKutu Notice or 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
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
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 tp obtain financing, consult
with lender or anAMornev before commencing work or recording vour�ice of Commencement.
ignature o Own r as Agent for Owner
Sign re of ontractor/License Holder
TATE O LORIDA
ST TE O FLORIDA
C OF Drb a ri
CO OF'Br-QLOc&y_d
S7n to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X� Physical Presence or Online Notarization
`,O Physical Presence or Online Notarization
this 17= day of }-A Oi y 2020 by
this J,;2:`day of M Zk1 Z 202p by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known `f OR Produced Identification
_
Type of Identification
Type of Identification
Produced
Produced
(Signature ofjNotiry Public- State
of Notary Public- Sta
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REVIEWS
FRONT
ZONING
.2025
VEGETATION
SEA TURTLE
MANGROVE
SUPERVISOR
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20
IRS
1 on