HomeMy WebLinkAboutPermit Application Packet for AC circuit 12799 NW Mariner CourtAll APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Bate: 11 2021
0
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
300 Virginia Avenue, Fort Pierce FL 34982
Phone: 77 ) 4 - 5 Fax: (772) -157
HERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address. 12799 NW Mariner Court
Property Tax ID ##: 42---1 }-2 Lot No.
Site Plan Name: Bloch No.
Project Name: Mariner Village Harbour I idg -Plat - Unit 1
DETAILED DESCRIPTION OF WORK::
Installing dedicated circuit for I
New Electrical Meter Second Electrical Meter,
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total S. Et of Construction:
Cost of Construction: S 1100
Gas Piping
Sprinklers
Shutters Windows/Doors Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: Sewer � Septic Building Height:
OWNER/LESSEE:
CONTRACTOR.
NameTh odore L Weise
Name: Anthony C iodato
Address. 12799 NW Mariner CourtCompany:
Mott Brothers Electric
City: Palm City, FL State.- �
Address:385 NE Glentry Avenue
Zip bode: Ea :
City. Pork St LucieState: FL
Phone No. 2-22-7
Zip oche: 34983 Fax:
E-Mail:
Phone No772-40 -4 11
Fill in fee simple Title Holder on next page (if different
E-Mailstottbrothersele t n a@grn il.com
from the Owner listed above)
State or County U cen 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.
SUPPLEMENTAL CS TI 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
BONDING COMPANY -as Not Applicable
Tare.
Name:
Address:
Address,
City:
City.
Zip. mmwft�Phone:
Zip. Phone,
OWNER CONTRACTOR AFFID IlT: 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.
t. Lucie ou _mad s no representation that is granting a hermit will authorize the Permit holder' to build the subject structure
which is I conflict with areapplicable Home Owe Assoc ion ruts aws or an covenants that may resWict or prohlbit such
our deed for an restrictions which may apply.
structure. Please consult with your Home fawners Association an evr y
In consideration of the granting of this requested perrnk I do hereby agree that I will, in all respects, perform the error
in accordance with the approved plans, the Florida building Codes and St Lucie County Amendment
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, svrwirnr iing pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING To OWNER: Your failure to Record a Notice f 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 leader or an attomev before commencing work or re o&g..yourjNotiQe-QLr,ommencement.
lgnaure of Owner/
STATE of FLORIDA k.
COUN Y of
s Agent for owner
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online NotarizaVion
this ` day of - 00 by
r�
k
c
1)
Signature of Contra se Holder
STATE of FLORID!
COUNTY OF.---.--
Sworn to (or armed) and subscribed before me of
Physical Presence or Online Notarization
r-SIXINIP- 200 by
Name of personiphaking statement, Name of person makift statements
Personally Known OR produced identification Personally anon —OR Produced Identification
Type of Identification Type of Identification
Produced = L- - Produced . ..
(Signature of rotary Publ
- {� „+
on +I A Ll.4 l.L
Signature of Nota:Pubfic-
w
k
SA� LLWT
ti +~
Ik
a4i i
Commission � Iission [ o.
�•r#•
. �. �. I+lar
�nnrr�is ion Igor III
4frIRE'S.19, 20I
R��Efy
REVIEWS
FRONT
10NINGCOUNTER
S
EGETATIEATURTLANGRO
VREV
S
M
I
I IREVIEW
I REVIEWUPERVISER
I REVIEW
I EWON �
EV EWE �
EVlEWVE
DATE
RECEIVED
SAT
COMPLETED
■
-7 7) yoy-ell 91f
dcJlccfed
12799 NW
MARINER CT
I-------------------
3G �
2VC
.GFC I C P
3
'Vim
NEW AHU
LOCATION IN
ATTIC,.
ADJACENT T
EXISTING AHU
GAA
( 6 )
BA F
(37 him E Yr= 00 ;
4
r
4
1
r
2._QR.,Q T OC -D---30AMP.E!jjF,
L N.I. T
by
� 80 17
15
NEW LOAD CENTER LOCATION
0
r ��Q GlOV-C Llc:v S�
t)�799 NW r%e-r CouA
pa I ev�' C If 1- FL �qlqo
}
r _
.1 ALL
Sqo Ft X 3 watts sqo
AppUmm cir, @ISM
@ IN*
.......•
a -22-
1500 Wam
Mkwwan @ 2000
WmW heow @ 3 kw0000n 00*0 00000 0000000 00
Tm&hm woo 00000
Dria @ 5 kmo-o es, 04*0
15Mw.am0000aims* weep
IN* �...............
p(ol
CCIA ever",
TOTAL.,
BOEHM
:its
Now Dmft. -
PCMI 4W, - AS
Pool
Eboffift•oo&moor#•4$00WIDOO-00000 000000000000dB##OM0000
O&WOOO **pip &W *a*** 0
1 10 kw @
I Remmainder @ -------
mmmx�AIC @ .#.....�.......�.
T&W Waft l2A6.om= amps 1 S3
TOWWUW
�Oi160/1�f o
1240 wft = asps