HomeMy WebLinkAboutBuilding Permit App - Greenwood Dr All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: & I ( I 2-7— Permit Number:
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Building Permit Application
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: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 4012 Greenwood Drive
Property Tax ID#: 2421-702-0008-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Loveland Residence
DETAILED DESCRIPTION OF WORK:
Install #8 wire from existing panel to CU. Install new 50A breaker.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
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: $ $750 Utilities: -Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Larry Loveland Name: Michael Pride
Address: 4012 Greenwood Drive Company: Pride Electrical Services of Florida
City: Port St I ijr.Fp State:-EL Address: 843 S Kings Hwy, 102-B
Zip Code: Fax: City: Fort Pierce State: FL
Phone No. E- Zip Code: 34945 Fax: 772-461-2778
Mail: Phone No 772-370-6Ag4
Fill in fee simple Title Holder on next page (if different E-Mail mikeCcDpride-electrical.com
from the Owner listed above) State or County License FC:14005859/ 29875
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:
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 agrantln a permit will authorize the permit holder to build the subject structure
which conflicts with an applicable Homeowners ASsocia�ion rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consu�t 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 pro A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted the j bsite before the first inspection. If you intend to obtain financing,consult
with le er r befor commencing work or recording our Notice of Commencement.
S11rhalfbWof Contractor- r- ner Builder as applicable
STATE OF FLORID
COUNTY OF S� AJf�Q�
Sworn tZ(or affirmed)and subscribed before me of ✓Physical Presence or_Online Notarization
this day off .YAC�LAA- 20-,by
N �ntN�� RYirXI--
ame of person making tatelnent.
Personally Known I,/�OR Produced Identification
Typ entification Produced
( Ignature of Notary Public-State of FI rida)
Commission NoAGL a0 052 (Seal) t r DaW Raymond Prue
NOTARY PUBLIC
STATE OF FLORIDA
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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