HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/22/2021
Permit Number:
O
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: 354 Johnston street Ft. Pierce, FL 34982
Property Tax ID #:3ll"l��`� �� 5 ��C) N Lot No.
Site Plan Name: Block No. 3d—
Project Name: n�£'� i )
DETAILED DESCRIPTION OF WORK:
Replaced damaged meter can and weather head (Emergency Repair)
New Electrical Meter yes 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: $ keo. "D Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameStella Hunter
Name:James Murray
Address:354 Johnston Street
Company:Go Local Electric
City: Ft. Pierce, FL State: fC .
Zip Code: 34982 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Address:660 SE Monterrey Rd
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No772-919-5859
E-Mail info@golocalelectric.com
State or County LicenseEC13010231
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
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.
LuC* County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
wit lender or an atMrney before commencing work or pe4ording youl;tice of Commencement.
Sign ure of Owner/ Le ee/Contrac as Agent for Owner
Sig ature of Contrac'or/Licens Holder
ST TE OF FLORIDA
v`
STATE OF FLORIDA .
CO NTY OF �1GLQ,I f ^
COUNTY OF f„
Swor firmed) and subscribed before me of
Sworn��rm�ed) and subscribed before me of
l ical Pr Bence or Online Notarization
sicalnce or Online Notarization
this day of U1 L i H 2O20 by
this � day of T� i .� 2020 by
Name of person making statement.
Name of person making stateme t.
n OR Produced Identification
Known OR Produced Identification
sonally
Type of Identification
Type o entification
Produced
Produced
(Signature of Not y; S1 �ti�lfl � I
(Signature of Notary
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Commission No. "a• �_ 3 obeH��1023
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k-e-v.5/6/20