HomeMy WebLinkAboutBldPermitApp-Isaias_AllPrimeElectric.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/27/2021 Permit Number:
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L E ,- c c -''- Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
CBDG Funding
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 256 NW Airoso Blvd
Property Tax ID #: 3419-555-0018-000-9
Site Plan Name: RIVER PARK -UNIT 8- BLK 139 LOT 18 (MAP 34/28N)
Project Name: Isaias Gutierrez
DETAILED DESCRIPTION OF WORK:
150amp Panel changeout - like for like.
Residential XX
New Electrical Meter NSA Second Electrical Meter NSA (Affidavit required)
CONSTRUCTION INFORMATION:
Lot No. 18
Block No. 139
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 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1200 Utilities: -Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Isaias Gutierrez
Name: Valentino Perez
Address: 256 NW Airoso Blvd
Company: All Prime Electric LLC
City: Port St Lucie State: FIL
Zip Code: 34983 Fax: _
Phone No. 772-342-g7A7 E-
Address: 2449 SW Gay Circle
City: Port St Lucie State: FL
Zip Code: 34953 Fax:
Phone No 772-245-0303
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail val@allprimeelectric.com _
State or County License EC13004625
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
Name:
Address:
MORTGAGE COMPANY: Not Applicable
Name:
_
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 attorney before commencing work or recording our Notice of Commencement.
Signature of Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affir d nd s bs-ribed bef rem Ph '�aI Presence or Online Notarization
�,
this day of 2t by
C(,1e�
Name of person making statement.
PeryF§4jKnown OR Produced Identification
Typ of I if aF tion Produced
of otary Public- State of Florida)
O14097022
Commission No. (Seal)RM
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev b/ZU/21