HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR
Date:
TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commerci I x Residential
2300 Virginia Avenue, Fort Pierce Fl. 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 10036 S. Federal Highway, Port Saint Lucie Florida 952
Property Tax ID #: 341450137150509 Lot No,
Site Plan Name: Excellent Holdings Inc Block No.
Project Name: Replace Burnt Lug on Meter Can
DETAILED DESCRIPTION OF WORK:
Replace Burnt Lug on Meter Can
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check al I that apply:
_,_,Mechanical __.. Gas Tank —Gas Piping `Shutters � Windows/Doors _ Pond
X- Electric _ Plumbing Sprinklers — Generator Roof Pitch
Total 5q. Ft of Construction: S . Ft. of First Floor:
Cast of Construction: $ SQQfl0 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE;CONTRACTOR:
NameExcellent Holdings Inc. -
Name:
Forward Electric & Air Conditioning
Address:10000 S US HWY 1
Company:
City: Part Saint Lucie Florida State:Address:
166 SW Thrasher Way
Zip Code: 34952 Fax: _
City:
Stuart State: FL
Phone No. 772-221-1660
Zip
Code: 34997 Fax:
E-Mail; Rmohsin@naisauthcoast:eom _
Pone
Na772-Z21-1660
Fill In fee simple Title Holder on next page (if different
E
Mailbill@fwd-electric-air.com
ate or County License
from the Owner listed above)
S
.e .v,wc WIs ca w+ yr more, a KCL"KL0rLJ 14011Ce Or LUM encemem is requires.
If value of HAVC Is $7,500 or more, a RECORDED Notice of Cominen ement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW IN
oEWUMER/ENGINEER: _ Not
Name:
Address: -
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ _ Not Applicable
Name:
Address:
City: _ -
Zip: Phone:
OWNER/ CONTRACTOR AMOVIT: Application Is hereby r
I certify that no work or installation has commenced prior to the
TION:
COMPANY: _ Not Applicable
ty: State:
p: Phone:
COMPANY: ,Not Applicable
-.
p: Phone:
to obtain a permit to do the work and installation as indicated.
nce of a permit.
St. Lucie which is in conflity ct with a y appllcableiHothat
e Owners Associationirui isabylaws or andpcovenants that mayf� estrict or prohibit such
structure. Please consult with your Home Owners Association and re iiew your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do herebl agree that I will, in all respects, perform the worst
in accordance with the approved plans, the Florida Building Codes ar d St. Lucie County Amendments.
The following building permit applications are exempt from undergo ga full concurrency review: room additions,
accessory structures, swimming pools,, fences, walls, signs, screen roc ms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Cc mmencement 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 bpfnro r_eimmanriner wnrie Ar rarnrAlnn tt^o it kg^+"— -4 r......................_,
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
_ Physical Presence or Online Notarization
this day of , 2020 by
Name of person making statement. - - I
Personally Known OR Produced Identification
Type of identification
Produced
(Signature of Notary Public- State of Florida ) � .
Commission No. (Seal)
REVIEWS COUNTER I R VIEW 15 REVIIEWOR
DATE
Contractor/License
TE OF FLQkRIDA,
JNTY OF
rn to (or affirmed) and subscribed before me of
_ Ph yr ical Ares nce or Online Notarization
s ,2b lay of 2020 by
of person making statement.
orally Known _ OR Produced IdentificationT
of Identification
Public- State of Florida)
No. H l4
VEGETATI
REVIEW
ZACKARY VALLES
Public • State of Florida