HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/15/21 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 5500 Saint Lucie BLVD,Lot G6, Fort Pierce,FL 34946
Property Tax ID#: 1430-331-0002-000-5 Lot No.
Site Plan Name: Block No,
Project Name: Nadeau Residence
DETAILED DESCRIPTION OF WORK:
Mount sub-panel in shed, pull ac from outside pedestal and install 50amp breaker to feed shed,
dig ac back install in shed panel as well as feeds for washer and dryer and a couple general receptacles.
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 -Windows/Doors Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 400•00 Utilities: —Sewer _Septic Building Height.
OWNER/LESSEE: CONTRACTOR:
Name Armand Nadeau Name:Donald Green
Address:5500 St Lucie Blvd, Lot C6 Company:Don Green Electric
City; Fort Pierce State:_ Address:1305 W 1 st St
Zip Code: 34946 Fax: City: Fort Pierce State:FL
Phone No.(772) 519-1847 Zip Code: 34982 Fax:
E-Mail:garren109@yahoo.com Phone No(772)418-5739
Fill in fee simple Title Holder on next page I if different E-Mail permits@dongreenelectric.corn
from the Owner listed above) State or County License E013007447
If value of construction is 2SOO 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
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 ounty and post d on the jobsite before the first inspection. If you intend to obtain financing, consult
wit a der or an at r e before commencing work or rec our Noticehf Commencement.
7 ) 6.Lt 61-,'O/L���
Si Owner/Lessee/Contractor as Agent for Owner Signatu Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 81'00)61 K d COUNTY OF BK 0W0 y -)
S3yorn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
�7 Physical Presence or Online Notarization �Q Physical Presence or Online Notarization
this 19 day of A P✓1 i 202$ by this ICJ day of I"i i _ J 2020 by
poi7cll eet,
Name of person making statement. Name of person making statement.
Personally Known -OR Produced Identification Personally Known ()o OR Produced Identification
Type of identification Type of Identification
Produced Produced
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{Signature of Notary Public- nature of Notary Public-S ida)LAURIE PHILLIP
;p,M«'•:'., LAURIE PHILLIPS Notary Public-State of Flirt!
�{ ? a2 _• Public-State of Fla i mission No. � ;� QrWnission p HH 878 2
Commission No. •= l��j}y{Mission 0 HH 8786 ry wn s' ommission Expiri is
'',?a , ,•'' My COrrmission Expirei 1ruary01,2025
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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