HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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cr Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential YES
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: REPLACE EXISTING 12; AMP MAIN BREAKER ENCLOSURE WITH NEW 125 AMP MAIN
BREAKER ENCLOSURE
PROPOSED IMPROVEMENT LOCATION:. OUTSIDE OF RIGHT SIDE OF BUILDING
Address: 13452 HARBOUR RIDGE BLVD PALM CITY FL 34990
PropertyTax ID #: 4436-605-0026-000-6 Lot No.
Site Plan Name: Block No.
Project Name: HARBOUR RIDGE
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING 125 AMP MAIN BREAKER ENCLOSURE WITH NEW 125 AMP MAIN BREAKER
ENCLOSURE
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION
(Affidavit required)
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. $ 2351.50 Utilities: _ Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR;
Name Kristin H Dusterberg
Name: GEORGE G SANCHEZ JR
Address: 13452 HARBOUR RIDGE BLVD 2A
Company: EXCEL ELECTRIC LLC
City: PALM CITY State: FL
Zip Code: 34990 Fax:
Phone No. 772-260-2263 E-
Address: 8241 BUSINESS PARK DR
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No 772-529-1091
Mail: L.SNYDER@HRYCC.ORG
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail EXCELOFFICE77@C;MAIFL.COM
State or County License EC 13006483
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: 1
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City: - -
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: - Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name: _
Address:
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 your Notice of Commencement.
J
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF ST LUCIE
Sworn to (or affir ed) and subscribed before me of
X Physical Presence or Online Notarization
this day of JrMUfi,YVl 220�y
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Name of per on making statement.
Personally Known X OR Produced Identification
Type of I entification Produced
(Signature of Notary Public- State of Florida)
Commission No. GG 946316 (Seal)
tate of Flonda
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REH
GG 54631812024
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DATE
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COMPLETED
Rev 10/12/21