HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; /141 1
s5r.
L31
ftrrning and Development Services
Permit Number -
Building Permit Application
Building and Code Regulo tr'on Division Commercial e i r) t ia l X
00 Virginia Avenue, fort Pierce FL . 349,92
Phone: (772) 4 2-1553 Fax: (772) 6 -1578
PERMIT APPLICATION FOR: Ruth C Roudebush
F f U PU E D IMPROVEMENT LOCATION- INTERIOR
Address: 109 SE PIacita Cat., Port St, Lucie, FL 3483
Property Tax I D #. 1-550-014 -000.6
Site Plan Name:
Project Name:
Lot No. 21
Bloch No. 71
LD�TAIL�D DERIPTION OF WORK:
Remove old 150 amp panel and replace with new 150 amp panel (like for like) - does not require FPL shutdown
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INF RM Ti N:
Additional work to be performed under this permit— check all that apply
Mechanical
Electric
, as Tank
�Plumbing
Total Sq. Ft of Construction:
Cost of Construction:
1lNEILEEE:
Gas Piping
Sprinklers
Name Ruth C Foudebuh -
Address: 109 SE Placita Ct.
City: Port St. Lucie FL Mate:
Zip Code. 34983 Fax:
Phone No, (5 1) 584-3460
E-Mail:Jame rneidel76 a@ rnail.corn
Shutters Windows/Doors Pond
Generator Roof Pitch
q. Ft. of First Floor:
utilities: , Sevier _ Septic Building Height:
CONTRACTOR:
Name. -Timothy Ehman
Company: Ehrnan Electrical Contractor LL
Address-4585 SW Fireside Cir
City: Port St. Lucie State: FL
Zip Code: 34953 Fax:
Phone N0772-519-84
i �n ee smPle Tutle Wolder on next page { it different E- 1ai l offi e�wehmanel ctric.com
from the Owner listed above) State or County License,
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required,
If'value of HAVC is $7,300 or more, a RECORDED Notice of Commencement is required.
EC 130987
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
UU01U vtK/tN U INEER: Not Applicable
Name:
Address;
City: .State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: � Not Applicable
Narnam
MORTGAGE COMPANY:
Not Applicable
Name:
Address:
City- State:
Zip: Phone:
BONDINGCOMPANY;
Not Applicable
' Name:
Address: Address:
City: ity:
Zip: Phone: Zip: Phone:
WI ER/ CONTRACTOR AFFIDVIT: Application is hereby made to o—
btain a permit to do the work and installation as i
certify that no work or installation has commenced prior -to the issuance of a permit. i�dicated�
t. Lu6eCounty makes no representation that is granting a permit will authorize the permit bolder to build the subject structure
which is in conflict with any applicable Horne Owners Association rules, bylaws ar and covenants that May restrict
o
structure. I�iease consult with your Horne Owners Association and review your deed for any restrictions ► hich may ar pPyprl. such
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 Counter Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: roam additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARN I N G TO OWN ER: Your failure to Record a Notice of Commencement may result in paging twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Counter and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before cai, mencin or recording our Notice of Commencement.
t J Ar 1
Signaturie of O ne
STATE OF FLORIDA
COUNTY OF T7 LUCIE
ssee/Contractor as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 14 day of JU► E , 2020 by
Name of person making staternent,
Signature of Contra
STATE OF FLORIDA
COUNTY OF STLU IE
tense Holder
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
thrs 14 day of DUNE 2020 by
Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification � Type of Identification
uceNd
r d r - - -- - Produced
(igatu're of Notary Public- state of Flari a {Signs re Af otary Public- State of Florida
Commission
,ti ;w r �•, RtA WKV
* #-10 My CDMN'IS INN # G :a328W
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