HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/16/21 Permit Number:
�5_o LuC1�L
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Miramar Royale Condominium Assoc.
PROPOSED IMPROVEMENT LOCATION:
Address:
9950 . errserr8ctIT-Ft3-�
Property Tax ID #: _4502-_703-0000-000-1 Lot No.
Site Plan Name: Block No.
Project Name: pool heater electrical panel replacement
`DETAILED DESCRIPTION OF WORK: -
replace corroded electrical panel for commercial pool heater
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
X Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2447.00
(Affidavit required)
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
Name Miramar Royale Condominium Asoc
Add 9950 S Ocean Dr
city: Jensen Bch State: FI
Zip Code: 34957 Fax:
Phone No. 772-229-3673
E-Mail: manager mlramarrroya e.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Michael Pettengill
Company: Electrical Connections
Address: 1205 SE Dixie Cutoff Rd
City: StuartState: FI
Zip Code: 34994 Fax:772-283-5890
Phone No 772-283-5792
E-Mail mike@eleconnections.com
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 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
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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
is in Home Owners Association bylaws that
which conflict with any applicable rules, or and covenants 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 to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Ownertee Contractor as Agent Owner
STATE OF FLORI��G`�
COUNTY OF
Sworn t (or affirm e and subscribed before me of Physical Presence or Online Notarization
this Z�ay of20_ by
ment.
Name of person ma7�0
Personally Known R Produced Identification
Type of Identification oduce
(Si re of Notary Public- St f Florida)r
Commission No. Ff 14 6A41-`{ (Seal) , ZOILOVADDY
.
Milt"Notary Public. State of Florida
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[41..
Commission No. HH 646M
Commission Expires 11/17/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 5/20/21