HomeMy WebLinkAboutBuilding Permit Package All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: `
��UALUYU1L, OCT 11 2021
C 1;-'(� )✓ ° - . = St.Lucie County
Building Permit Application Permitting
Planning and Development Services
Building and Code Regulation,Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PRCIFOSEDEEEI{MPRC#1iEMNT �.00ATION E fE%€n
Address: 9401 S Ocean Dr #4A
Property Tax-ID#`.�3535;334-003=130=9'- A Pi.;CAl'i0 J 0 br <= : L'1 Lot No.
Site,Plan Name: Campbell Residence Block No.
Project Name: Campbell Residence
DETAILED DSCRIPT�ON OFWORK l
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Replace existing meter bank wih exact same
New Electrical Meter NA Second Electrical Meter NA (Affidavit required)
CC3N5TRUCTICN INFORMATION z ffl
Additional work to be performed under this permit—check all that apply:
_Mechanical. ,jc, ,,., as;Tank,_,_- _Gas Piping _Shutters _Windows/Doors : _.Pond
x Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor: NA
Cost of Construction:$ 2400.00 Utilities: _Sewer _Septic Building Height:
011UNER/LESSI=E v CONTRACTOR E d
NameRobert Campbell Name: Walter Runge
Address: 9401 S Ocean Dr Company: Coastal FlPrtriral Service Inc
City: .len-, n Raach State: FL Address: 2155 SW Gull Harbor Lane
Zip Code: 34957 Fax: NA City: Palm City State:Ei
Phone No.NA E- Zip Code:34990 Fax:772 28657636
Mail:NA Phone No 779 2Rs 5771
Fill in fee simple Title Holder on next page(if different E-Mail rich a rd a coasta le lectrica Ise rvice.com
from the Owner listed above) State or County License EC13001456
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.
S E PPLEMENTAL CONS'TRKUCTiON LIEN LAW,INF®RMATION
d �u r
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLD_ ER: _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 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 our property. A Notice of Commencement must be recorded in the public records of St.
Lucie County a posted on the 'obsite before the first inspection. If you intend to obtain financing,consult
with lender an attorne a commencing work or recording our Notice of Commencement.
Signat re of Owner/ essee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF �lt
Sworn to(or affirm bscribed bef re me of Physical Presence or Online Notarization
this,0,day of su 2 by
Na-me of person making statement.
Personally Known OR P odu Idegtifi ation
Type of Ident' icatio roducecl
1
(Signature of Notary Public-State of Florida
M1;Yp�B;` KAREN S..NIELSEN
Commission No. (Seal) `so <-;State of Florida Notary Public
_• Commission # GG 207484
9rF oP My Commission Expires
June 12, 2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER, REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5120121
Coastal
ELECTRICAL SERVICE
RECEIVED
I N C O C T 112021
21 55 S'A' Gu!i Harbor _ane
palms c;y F! 34991 St,Lucie County
(7721 286-57-1 Office 1f 72; 286-5766 Fax Permitting
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Page 1 of 1
RECEIVED
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OCT 11 2021
St.Lucie County
Permitting
MILBANKre
ENERGY AT WORK:
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UAP1254-X-HSP3k
Catalog Num er tJAP1254 X HSP Mounting Surface Mount
Marketing Product Description 4 Terminal Ringless Large Enclosure Aluminum with Powder Coat
Closing Plate Stainless Steel Finish
Hasp 4 Position Aluminum t
Painted JawQuant�t 4 Terminal
UPC 7$457230;0743 Bypass Type No Bypass
Length(IN) 5.125 Number of Meter Positions 4 Positions j
» .. , .
Equipment Ground Ground Lu
Width SIN} 42 6$$ " g
Height(IN) 16 Hub Openmg, Large Closing P11.
late
UM
13iand,Name_ Milbank 'r Load Side Wire Range 6 AWG-350 kcmil
W:Type Ringless Meter Socket Number OfReceptades 0
Apphcatipn Meter Socket
Standard UL Listed;Type 3R
Dotage Rating 3Q0 its-.,. It
r1hat I'l,Current
Amperage Rating 200 Continuous Ampere
Phase 1 Phase
Frequency Rating 60 Hertz
Sine _ 5„125Lx 421x88V�1 x 1 bH
Number Of Cutouts 0
MW
putout Size !Nn Main Breaker
Cable Entry Overhead or Underground
with Center Wireway
�. ,arminat _ 1$Inclist tud
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Insulation Glass Polyester
Please consult serving utility for their requirements prior to ordering or installing,as specifications and approvals vary by utility and may require local
electrical inspector approval.All installations must be installed by a licensed electrician and must comply with all national and local codes,laws and
regulations.Milbank reserves the right to make changes in specifications and features shown without notice or obligation.
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FEATURE TABLE
ITEM QTY DESCRIPTION
� A 2 2,2'/:,3 CONC.K.O.
B 10 1%,1'/z,2,2'%CONC.K.O.
C 1 '/2,%,1 CONC.K.O.
D 4 Y:SOLID Ya K.O.
E 1 %SOLID K.O.
i F 4 STD.MNTG.EMBOSS
G 3 3/8-16 LUG STUDS
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0 -0 0 0
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—42 11116"O.D.. 5.1"8"I.1). "
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1 f--'L 318"
118r16" C A E B D
3 1 i116"
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� 0 q�: MILBANK•
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ENMR®YAT WORK
2 1!4" -4 'L 1 1 2 1i4" 2114
T 3/4 14 j All Drawing v ion are not /16".Dra
8 3/16" �— 9 3/16" 9 3! 6" 8 3,'16" I
t
o scale.
VBfSlOf1: Please consult serving utility for their
I requirements prior to ordering or Installing,as
I specifications and approvals vary by utility,and
I may require local electrical Inspector approval.
All installations must be Installed by a licensed
I 1 electrician and must comply with all national and
local codes,laws and regulations.Milbank
I reserves the right to make changes in
..--.._--.--.—..--....._..._.._,_...,_..._..._ „_.._._„.......__..............__.-_.....,.... .._........__.....,.....__....,..... �,,....,..,.. __."..�..............._.._.._.... ...---�.�.--.—_....._._.I specifications and features shown without notice
or obligation.
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