HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/7/2021 Permit Number:
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Agriculture Exempt 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 TYPE: Electrical
PROPOSED ►MPROVEMENT LOCATION:
Address: 1785 SHINN RD
Property Tax ID #: 2318-211-0001-000-7 Lot No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Build new service with (2) 200-amp panels including the following:
Pipe & wire ran underground from transformer to meter, (2) 200-amp weatherproof main breaker panels
Unistrut channels for mounting panels to post and all grounding and ground rods
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 13,000.00 Total Sq. Ft of Construction:
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain:
Nonresidential Farm Building: Temp. Bldg./Shed used exclusively for construction
Mobile/Modular for temp. construction office: Bldg. involved in distrib. of electricity:
Other: Flood Zone:_ BFE: Floodway? Y/N If Y,
No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
construction.
OWN ER/LESSEE:
CONTRACTOR:
Name Todd A Heacock
Name: Daniel Stubbs
Address:1785 Shinn RD
Company: S&W Electric, Inc
City: FT Pierce State: _
Address: 501 W Coker Road
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No.
Zip Code: 34945 Fax:
E-Mail:
Phone No 772-464-6466
Fill in fee simple Title Holder on next page ( if different
E-Mail jessicastubbs.swelectric@gmail.com
State or County License EC13007544
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
_
I Name:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
jName:
Name:
I
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
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: 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 commencin work or recording your Notice of Commencement,
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Signature of 0 mer essee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FL R DQ STATE OF FLOR DA
COUNTY OF . L>„`Li I COUNTY OF , /,! V EJ_ I
Sworn to (or affirmed) and subscribed before me of ( Swo1n to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization �/ Physical Presen e or Online Notarization
this 2` day of k I 2020 by L this ="may of r 202� by I
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known L-- OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(ignature of NotaryPublic- Stat ,• r
ture of Notary Public- Stat of F a
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;,. mission # HH 013089 =.: Co fission # HH 013089
Commission No. {resOc`ober2l 2024 Con fission No.
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REVIEWS FRONT ZONING SUPERVISOR I PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW ; REVIEW ! REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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