HomeMy WebLinkAbout10063 Perfect Dr Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/24/2021 Permit Number:
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P Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: iuun,i rerrect unve, Fort Saint Lucie FL 34986
Property Tax ID #: 3327-703-0012-000-8 Lot No._
Site Plan Name: Block No.
Project Name: Reynoso Residence
DETAILED DESCRIPTION OF WORK:
Replace panel and breakers, same size.
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
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: $ 1026 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name -Luis Reynoso
Name: Kent Blosser
Address:278 Nagle Ave #21D
Company: Blosser Electric
City: New York State: _
Zip Code: 10034 Fax:
Phone No.772-873-0515
Address: PO Box 7305
City: Port Saint Lucie State: FL
Zip Code: 34985 Fax:
Phone N0772-337-0055
E-Mail:Amy@Staypga.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail electricinc.info@gmail.com
State or County License EC13001570
-- - �• - u• MUM, a rcrw1%UrU rvvnce or 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: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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%JVV IV Ln/ �-vlv I IIAM%.I vR Hrriu V i 1: 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: You i re to Record a Notice of Commencement may result in paying twice for
improvements toy pro rty. A Notice of Commencement must be orded in the public records of St.
Lucie County an osted n the jobs efore the first inspection. I intend to obtain tirr�ncing, consult
with lender an atto ev before encing work or rPrnrrNn it Nntira of r nmm
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Z WCie
COUNTY OF S{ W '1-
Swo n to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Swo to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this' day of LU\Q_ 262@ by
this � day of _)Uf%Q.. 2eM by
ao-a,
k•e,�-�)�r
�
Y-ex� �R 1
Name of person making statement.
Name of person makingstatement.
Personally Known OR Produced Identification
Personally Known '// OR Produced Identification
Type of Identification
Type of Identification
Pro d
Prod
(Signature of Notary Public- State of Florida
(Signature of Notary P
I' - State of Flgriri;; I
lay.^?Ik A� ISON HANSON
=, MY CO C�IIIbN#GG970043
`•'ALI N�jANSON
YCOMC�ION#GG970043
Commission No.JFO
Commission No.
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EXPIRES: March 16,2024
"EXPIR S: March 16 2
, P: E 024
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