HomeMy WebLinkAboutVOID Permit Application 2110-0462All APPLICABLE INFO MUST BE COMPLL. cD FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:/l� `✓L/
L.c' FUL5 .. �
Building Permit Application RECEIVED
Planning and Development Services r pr,,r ,r
Building and Code Regulation Division Commercial x Residential 2001
2300 Virginia Avenue, Fort Pierce FL 34982 t,ucie Opus
permitting V
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7430 US HWY 1
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Property Tax ID #: 3422-134-0004-020 1 w tlr° Lot No.
Site Plan Name: Block No.
Project Name: Interior Alterations
DETAILED DESCRIPTION OF WORK:
Electrical as per plans
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New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check alj4# pt apply:
_Mechanical _ Gas Tank s Gas Piping _ Shutters _ Windows/Doors _ Pond
X Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
CosVof truction: $ $ 2 400 Utilities: _ Sewer _ Septic Building Height:
OWI R
CONTRACTOR:
Name TI TI Properties LLC Name: Samuel Azus
_
Address: 630 First Ave Apt 29D Company: Metro Electric Service _
City: New York _ State: NY Address: 15050 NE 20th Ave
Zip Code: 10016 Fax: -- FL
City: Miami
Phone No. State:
E- Zip Code: _aa181 Fax:
Mail:
Phone No 3059451991
Fill in fee simple Title Holder
on next page (if different E-Mail Metro electricaICa) howl I
iw L�IC owner usted above)
State or County License EC-13002723
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.
t` t :t % ORMATI
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: _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 Homeowner's 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.
Signat r/ Lessee/Contractor as Agent for Owner
E OF FLORIDA
COUNTY OF Palm Beach
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this 11_ day of October 2021 by
Samuel Asuz
Name of person ma l ng state ent.
Per a y n X R Produc d Identification
Type of Identifica in P ed
(Signature o lic- State of Florida)
Commission o. JULIANGUTIERRE..Z
Notary Public -State of Florida
Commission 4 GG 274499
My Comm. Expires Jun 13, 2022
Bonded through National Notary Assn.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
t�TE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
ItCEIVED
FATE
9)MPLETED
Rey
I
111
scale 1 / 4" - 1 '
AAAi,-,-
NBC 2020
r'F, Il r'I�n
scale 1 / 4" - I'
I, ( ranch circuits installed in kitchens, familq rooms, dining rooms, living rooms, parlors, libraries,
dens, bedrooms, sunrooms, recreation rooms, closets, hallwag5, laundrq areas and similiar areas
shall have AFCI protection per 2017 FX-I? r�902,16,
2, Peceptacle outlets shall be tamper resistant receptacles per 2017 FX -F �4002,1+
Main service maq need to be upgraded for additional load requirements,
200 AMP Service W / big
Meter-�
�-4o aluminum in 2-1/ 2" conduit
scale, None
l Arnl IVl ri �n \A/4/1r VII-14 --1r
condu it
,r to I ights and outlets
�r to water heater
?r to range
,r to air handler
Acid � work stations
with �) 220V AC outlets
L- oc:;J(Once
5
D
O
ran
5witch
220 A/ C
110A/C
f/ V
Phone
� Khaust fan
L ight
Smoke Pet,
Carbon Monoxide bet,
Flourecent Light
General Notes
No. Revision/Issue Date
r7777777
Project Name and Address
� iv, area
Patio area
Garago area
[D.te7
Sheet
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