HomeMy WebLinkAboutinspection documentsBOARD OF
COUNTY
COMMISSIONERS
Electrical Affidavit
Date (.c,?
Parcel ID # ,,, S o I
Address 4' 1
Permit # Z .1 i ` ' � t W I
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
I have requested to install an additional electric service/meter attheabove-namedproperty.
By signing this affidavit, I fully agree that the additional electrical service/meter does not
allow for the following,
• Operation of a business venture or entity within the accessory structure in violation
of the LDC
• Renting or leasing any portion of the accessory structure in violation of the LDC
• Converting accessory structure into additional occupied or living space in violation
of the LDC
I fully understand that if the condition of this affidavit is broken without consent, power
could be shut off to the building without notice.
Print Owner's Name Signature of
SWORN TO (OR AFFIRMED) AND SUBSCRIBED BEFORE ME OF ijr� � PHYSICALPRESENCE OR
ONLINE NOTORIZATION THIS DAY OF , o ,� �r, ,w� "� 20 �! ,
NAME OF PERSON MAKING STATEMENT
PERSONALLY KNOWN
TYPE OF IDENTIFICA
OR PRODUCED IDENTIFICATION "%�°� ��, V�r�-- � � 'c,� ✓► �-
PRODUCED
�- COMMISSION NUMBER
TYPE OR PRINTNOTARY
(SEAL)
' M 1'RANKI.M 18�N
Noyrtry M+pUc - sgke 6r �torid�
,i Corttmistlgn 1' +15btiJt
My Comm, 4r lilo aGSbuy 11,1014Ass
000404
thrauyh Neda al NOt Ary n,0000
Website: www.stlucieco.00v
2300 Virginia Avenue -Fort Pierce, FL. 34982-5652
Phone(772)462-1553 FAX(772)462-1578
Planning & Development Services
Sullding & Code Regulation Division
230D Ulrglnlai Avenue
Fort Pierce, FL U982
PROPERTY INFORMATION
Address:
City /State /Zip:
Parcel #:
Zoning:
7ti25 Silver Oak Dr
Port St Lucie, FI 34952
3414-501-0715-200/5
APPLICATION INFORMATION
Permit Number: 2105-0161
Permit Type: ELECTRIC -RESIDENTIAL
CONTRACTOR INFORMATION
Contractor Name:
Business Name:
Business Addr:
City /State /Zip:
Grady E Hall
Howard Hall Electric
2000 Avenue P Suite 12
Riviera Beach, FI 33403
REVIEWS AND COMMENTS
Review Type
DOCUMENTS MISSING
6/23/2021 Comment:
FRONT COUNTER REVIEW
NOTIFIED FOR PICKUP -
REVISIONS
Comment:
Comment:
PLANS EXAMINER ELECTRIC
Comment:
ZONING REVIEW
Status
PENDING
REVIEW COMMENTS
1
Owner(s):
Shilo L Melendez / Victor Melendez-Cruz
Jurisdiction: SAINT LUCIE COUNTY
Reviewed By
Dave Johnson
Lot#: 15 Block: 3
Stories: Automatic Sprinkler System? No
RECORDED NOTICE OF COMMENCEMENT.
Fax Number:
Date Started
6/16/2021
Email: Hhallelectric@Gmail.Com
Date Completed Date Released
COMPLETE Ellen Vaughn 5/6/2021 5/6/2021 5/6/2021
PENDING Ellen Vaughn
COMPLETE Walter Pride 5/10/2021 6/16/2021 6/16/2021
INCOMPLETE Lydia Galbraith 6/23/2021
Comment: TO BE ABLE TO ALLOW A 2ND METER PLEASE PROVIDE THE FOLLOWING INFOR ATION:
- WHAT �11—iCESSORY BUILDING GOING TO BE USED FOR?
6/23/2021 - IS i�" PERIAL USE OR A BUSINESS? �� "�
- DO'ESa'"T' HE BUILDING CREATE ADDITIONAL TRAFFIC?
- SUBMIT ATTACHED ELECTRICAL FFIDAj/IT,