HomeMy WebLinkAboutElectrical Permit App-BeckAll APPLICABLE INFO MUST BE COMPLETED FOI; 0 1?J2q /kPPLiCATIQN TO BE ACCEPTED
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Permit Number:
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Building Permit APPlication
Ptanning and F1eve%Fmen€5ervhes
Building and Code RegutaWn Dlvlslon
2300WginlaAvenue ,Fort FlerreFL3+4982 CornmeCcial Residential x
Phone: (7721462-1553 Fax: (772) 462-1S7S _ — —`�
PERMIT APPLICATION FOR: ELECTRICAL
Address:
Properti+Tax iD N: 4502-501-1300-000-1
Site Plan Name:
Project Name: WALTPR R;zr•_ic
DETAILEODESCRIPTION C3i= WORK;
Lot No._
Block No.
New Electrical Meter _ Second Electrical Meter
(Affidavit required)
-CONSTl aTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
—Mechanical —Gas Tank Gas Piping P ng Shutters Windows/Doors IL Electric _ Plumbing —Sprinklers
_Generator � Roof pond
Pitch
Cost Tntal Sq. Ft of Construction:
Sq. Ft. of FErst Finer:
Cost of CORStruction. $ O0
Utilities: _Sewer r optic Building Height:
��1€i�l�R/L�SS�Ir;
Name ERBECK
_ CQNTRACYO
Address:1113 NETTLES BLVD Name: LD ltl EL _
City: JENSEN BEACH company' I L
State: FL Address:1537 SW LEX1NGTO C1R Zip Cade: 34957 Fax:
Phone No.��177
E-Mail: BECK624 MSN.COM T. '—
Fill in fee simple TWe Holder an next page (if different
from the Owner fisted above)
Gty: PORT ST LUCIE State: FL
ZiP Code: 34953_- .._.,_. Fax:
Phone No
E Mail PXELECTRICF MAI1 Co&M
State or County License
If value of
construcdors Is 2SW or more, a RECISRDFD Notice 0f COMmencement is required.
If value of HAVC Is $7,500 or more, a ItECORWED Notice of Commencement Is required.
`$UPPLE ENTAL
JL1Er4 LAVv-iNF0§MAT1'QN:
Name ------------
- .. --- -
Address:
Cam: State:
ZIP: . Phone
FEE SIMPLE TITLE HOLDER; X Not Applicable
Name:
Address;
City:
Zip: _ _ Phone:
MORTGAGE COMPANY: Name: � Not Applicable
Address:
City: State:
Zip: _ Phone;
BONDING COMPANY:
Name: X Nat Applicable
Address:
City
Zip: Phone:
OWNER/ CONTRACi'OR AFFIDVIT: Application is hereby made to otrtain 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 Counter makes no representation that Is granting a permit will authorize the permit holder to build the subject structure
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may ap
which is in conflict with any m
applicable Hoe Ovmers Association rules, bylaws or and cl)Venants that may restrict or prply.
ohibit such
In consideration of the granting of this requested permit, I do hereby agree that 1 wi!#, in al! respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie CountyAmendments.
The following building permit applications are exempt from undergoing a foil concurrenty 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
endero
with lr an attorney before cornmenrino wnri, „w
Signal of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of d/ this Physical presents or— online Notarization
�- f day of 2EZL by
Name of person making s ement.
PersonallyKnown C)R Produced identificationType of tlon Produced
(Signature of Not—aNIFuJI1c. State of Florida)
Commission No. a3 3 (Seal)
ALBERT #. CORSa
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REVIEWS FRONT ZONING SUPERVISOR I PLANS I VEGETATION I SEATURTLE I
MANGROVE
IATF _.
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
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