HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07--01-2021
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Residential X
PERMIT APPLICATION FOR: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 6503 Emerson Ave, Fort Pierce, FL, 34951
Property Tax I D #: 1301 -w6l OmO077-POOO-wO Lot No.
Site Plan Name: Block Na.
Project Warne: Anna Smith
DETAILED DESCRIPTION OF WORK:
Like for Like 150 a Panel Change
New Electrical Meter Second Electrical Meter.
CONSTRUCTION INFORMATION:
Additional work to be
performed under
this permit — check
all that apply:
_Mechanical
� has Tank
_Gas Piping
� Shutters Win-dows/Doors Pond
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1800
Sprinklers
Generator
Roof
Sq. fit. of First Floor:
i lities: ,,,,N,,. Sewer � Septic Building Height:
Pitch
OWNER/LESSEE: CONTRACTOR:
Name Anna Smith Name: Anthony Diodato
Address: 6503 Emerson Ave, Company: Stott Brothers Electric
City: Fort Pierce FL StateS.,0111 Address: 385 NE Glentry Ave
Zip Code: 34951 Fax: pity; Port Saint Lucie State.* FL
Phone No. M -P'V 0
772-466-,1139 Zip Code: 34983 - A. Fax: NOW E-Mail. P--
Phone No 772-4084911
Fill in fee simple Title Holder on next page if different E-Mail stottbrotherselectric@gmail.com .4 P
from the Owner listed above) State or County License EC1 3007910
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.
01
T L CONSTRUCTION LEf�i LA iNFORM41.6.0,141 -NEW. "i01Wia_ ME Mom-
ATiON
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City; State...• City: State:
Zip: Phone Zip: Phone.•
FEE SIMP TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name.: Name:
Address: Address:
City: city:
Zip: Phone' Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT.00 Application is hereby made to obtain a permit to do the work and installation as indicated.
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 �n conflict with and applicable Home Owners Association rubs, bylaws or and co�enan�s t�tat may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply,
Inconsideration of the granting of this requested pe it, 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 AmendmenM
The foil -owing building permit applications are exempt ftom undergoing a foil concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessary uses to another non-resi+dentlal use
WARNING TOWONER: Your failure to Record a Notice of Commencement may result in'praying twice for
iprovementsnr►to your property. A Notice cif Commencement must be recorded in the pubic 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. attornev before commencingwork or recar 'a Y our oti ommenGement.
*Wlsh.
N.
Signa ore of Owner/ tra or as Agent for Owner Signature of Contre r/ ' se`Holder
STATE OF FLORIDA r STATE OF FLORIDA
COUNTY OF LL
COUNTYOF
Sworn to (or affirmed) and subscribed before me of
'5Z, Physical Presence or online Notarization
this ,�day of , 20 by
Name of person ma in s#atement.
Personally Known ,�, CAR Produced Identification
Type of Identification
Produced
(Signature of Notary Public"
Commission N.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev,
FRONT
COUNTER
s n to (or rrned) and subscribed before me of
Phys'ical Presence o r Online Notarization
this �, day of �• �� by ,�i�
Name of person maki
Personally Known
Type of Idenfification
Produced
ilyr
*�' # ■ # * JSAVANNA STHLLWELL
0
8ondW Thm " Pub4a Ur4e ro
ZONING
REVIEW
SUPERVISOR
REVIEW
OR Produced Identification
ture of NotarV Pubric- --J
Olt
SAVANNA STILLWEM
s* No* * *
&48MMISSION# GG %
4-z EXPIRE& March , 20r
PLANS
REVIEW
VEGETA11ON
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
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