HomeMy WebLinkAboutBuildingPermitApplication (Electrical) signedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8-20-21 Permit Number:
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
PERMITTYPE: COMMERCIAL
Commercial x Residentia
PROPOSED IMPROVEMENT LOCATION:
Address: 10410 SOUTH OCEAN DRIVE JENSEN BEACH, FL 34957
Property Tax ID #: 4511-514-0000-000-9
Site Plan Name: HUTCHINSON ISLAND CLUB
Project Name: MDF
Lot No.
Block No.
� DETAILED DESCRIPTION OF WORK: f
Install new 2" raceway conduit north side of building to roof level PH2
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters _ Windows/Doors
x Electric _ Plumbing _ Sprinklers Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 19,786.45
Sq. Ft. of First Floor:
Utilities: Sewer —Septic Building Height: 150
OWNER/LESSEE:
CONTRACTOR:
Name The island club of Hutchinson Island
Name:
Company: ENGINEERED SYSTEMS SOLUTIONS LLC
Address:7352 SW 41 ST STREET
Address:10410 south ocean drive
City: Jensen Beach State:
Zip Code: 34957 Fax:772 229 0357
Phone No.772 229 7745
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
City: MIAMI State: FL
Zip Code: 33155 Fax:
Phone N0305 986 2217
E-Mailjmcarmenate@gmail.com
State or County License EC13008937
vauc L11 wnauucLivn is ;oLavu or more, a KeLUKutu riotice oT commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: TYRONE WE5CART
Address: 1109RIAUODR
City: BOYNTON BEACH
Zip: 33436
Phone 3D5 3439664
Not
State: FL
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Prone:
F Not Applicable
State:
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE ,JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
wxru vnssn r riunrn nn Aiu ArrnRNFY RFFnRF RFCn1RDINC YOUR NOTICE OF COMMENCEMENT."
Signature of Ow r/ Lessee/ ontractor as Agent for Owner
gnatu of Cotna tor/L'+cense H lder
ISTATE
OF FLORIDA
T E OF FLDA
COUNTY OF
C UNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of 20_ by
this 24 day of AUGUST 2021 by
Jesus Garmenate
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Ay��
Produced s°�;,,�s�,o ANDREWANDERSON
Commission#GG270157
ProducedC555433691810 ypo ANDREWANDERSON
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Expires February 22,2023
A'0-7Yand�d Thru Budpu Nobly S�rvka
*Comm3sslon GG 270157
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(Signa u of Notary blic- State of Florida)
(Sig a re of Notary ublic- State of Florida ]
Commission No. (Seal)
Commission No. GG 2770157 (Seal)
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Rev. 2/7/19