HomeMy WebLinkAboutBuilding Permit Application (Electrical)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/19/22 Permit Number_igmupgEw
Buil
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462
PERMIT TYl"Ke-i +r�P 6_-
Address: 2410 SE Morningside Boulevard
Property Tax ID #. 3420-815-0001-010-1
Site Plan Name: Port St Lucie Momingside Library
Project Name: Port St Lucie Momingside Library RTLI-2
RECEIVED
-mit A on JAN 21 2021
i St. Lucie County
Permitting
iX Residential
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
X Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ Utilities: —Sewer —Septic
Lot No.23
Block No.
Windows/Doors
Roof Pitch
Building Height:
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e
Name St. Lucie county
Name: Curtiss Morgan
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Company�.�.._,
Address: 2300 Virginia Ave
City: Fort Pierce State: FL
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Address: 6151 Pembroke Road)
Zip Code: 34982 Fax:
City: Hollywood State: FL
Phone No.
Zip Code: 33023 Fax:
Phone No 954-989-7162
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail kshields@tirone-electric.com
State or County License EC0003059
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is req74
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DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OMENCEMENTj"
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/t cense Holder
STATE OF FLORIDA �l �G,I�
STATE OF FLORIDA
COUNTY OF T
COUNTY OF eab
The forgoing instryment was acknowledged before me
The forgoing instrument was acknowledged before me
this2-1day of J aVIUL 209aby
this 1s day of January 2022 by
S1\4,1 e Cl-C4. l ( eLi
Curtiss Morgan
Name of person makiinng statement.
Name of person making statement.
Personally Known V OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Produced
Type of Identification - N
Produced ��'•ru.� n"tw�r'
(Sign == s re o otary'P.ubl'ic,`ttate of Florida) -'
(Signature of Notary Public-
: GRISE4GORTEs
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Commission No.
.aS MC ISNONAGG316750
Commission No. Gcao1804 (Seal)
S: JM62, 2023
BaMBdThN NOWY PuDriCUMerwom
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/ 19