HomeMy WebLinkAboutBUILDING PERMIT APPLICATION (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 2101-0083
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I D BuildingApplicationPermit
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Temporary Power Pole
PROPOSED IMPROVEMENT LOCATION:
Address: _4940 Watersong Way, Fort Pierce FI, 34949
Property Tax ID #: 2532-500-0077-000-5
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Site Plan Name: 150amp Temporary Power Pole Block No. Project Name: —Temporary PowerPole
DETAILED DESCRIPTION OF WORK:
Install a 150amp temporary power pole, will be removed at early power release.
New Electrical Meter —��/ Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanical Gas Tank Gas Piping Shutters
, electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 700.00
Sprinklers Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Bidge BS LLC
Name: John Cavnar
Address: 2140 S Dixie HWY Ste 301
Company: Goldstar Electric Inc.
City: Coral Gables State: _FL
Address: 213 Ne Sagamore Terrace
Zip Code: _33133 Fax:
City: Port Saint Lucie State: —
FL -Phone No.
Zip Code: _34983 Fax:
E-Mail:
Phone No_(772) 380 - 5913
Fill in fee simple Title Holder on next page ( if different
E-Mail_johnc@goldstar-electric.com
from the Owner listed above)
State or County License_EC13002082
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.
All items must be sent by Aug 28, 2021. fell us about your return experience.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
t�m%9scNprionsNRIGINEER: Not Applicable Q
Name:
TGAGE COMPANY: Not Applicable
Name: _
HAAdMagth SL-27102-02 Doorbell Contractor Kit, White 2c
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 County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recordinfz your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTYOF st. LU CAC
Sworn to (or affir ed) and subscribed before me of Physical Presence or Online Notarization
this q_ day of S 20_2L by
O
Name of person making statement.
Personally Known OR Produced Identification
Type of I4egtification Produced
(Signature of Notary Public- State of Florida )
v
Commission N o . d (03�2 g Notary Putty State of Honda
Paola Bautista Garcia
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my commission HH 063683
Expires 11 /1542a24
REVIEWS I
FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 5/20/21
SUPERVISOR I PLANS I VEGETATION SEA TURTLE (MANGROVE
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