HomeMy WebLinkAboutBUILDING PERMIT APPLICATION i
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All APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a5 Permit Number:
RECEIVED
fro LUCE s
AUG 2 5 2021
- .- Building Permit Application St.Lucie c®unry
Planning and Development Services PermittlRb
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION: `I
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Address: 2844 S.Kings Highway,Ft Pierce FL 34945
Property7ax ID#: " r3�y1�33a� Lot No.
Site Plan Name: Block No.
Project Name: Repairs to an existing electrical service
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DETAILED DESCRIPTION OF WORK:
Repairs to an existing electrical service C/ 4,g Y�A .tiZPJ lf�✓�Cl '
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New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION: �1
Additional work to be performed under this permit—check all that apply:
Mechanical Gas Tank —Gas Piping —Shutters _Windows'/Doors _Pond
x Electric —Plumbing —Sprinklers —Generator Roof l Pitch
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Total Sq. Ft of Construction: Sq. Ft.of First Floor:
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Cost of Construction:$ 1,400 Utilities: —Sewer _Septic Buiilding Height:
OWNER/LESSEE: CONTRACTOR!:
Name Tony DiFrancesco Name: Guillermo A.Alonso
Address: 2844 S.Kin_u Hiehway Company: Klean Power Electric Inc
City: Ft.Pierce State: FL Address: 5101 SW 160 Avenue
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Zip Code: 34945 Fax: City: Southwest Ranches State:FL
Phone No. 772-201-5561 Zip Code: 33331 Fax:
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E-Mail: Phone No 786-277-0217
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License FL-EC-13002068
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. i
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SUPPLEMENTAL CONSTRUI TION,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: j _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone: i
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 Countyy 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 i'n 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 attorney before commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner
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STATE OF FLORID
COUNTY OF /
Sworn to(or affirmed)and subscribed before me of " Physical Presence or Online Notarization
this day of 20_ by
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Name of person making statement.
Personally Known y OR Produced Identification
Type of entification Produced
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(Signature of Notary Pit lic-State of Florida)
Commission No.V 1- ozy ��;pY ftal) PEDROMALONSO
Commission it GG 297802
err0, Expires February 23,2023
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"Of F��P\ Bonded Ttuu Budget Notary Servk*
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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