HomeMy WebLinkAboutFaro permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a - I � - J-o u- Permit Number:
C U
C L 0 L, 1 0, tk `- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 9600 S CC /����
Property Tax ID #: z S,3 "1 - J 0 O-)0' - 000 - j Lot No.
Site Plan Name: 1'\ 1 S LA-,,) D ps w E� T( C) () VV t-r Block No.
Project Name: Eft N 01 �� / �(� 6'
DETAILED DESCRIPTION OF WORK:
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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ a / 0 d
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
_ Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 0A k&J
Name:
GTOV\-
Address: f 600 Cbe /d-1-)
Company:
City: State: -EL
Zip Code: 3 i S Fax:
Phone No. 6o 3 - -71 L-( - ( (6-k E-
Address: 772 rV E IM.� t,,L
TA __/L 1Ztq/1- JD 6
City:. _J(; NAG �% I �r/1 �I
Zip Code: Fax:
Phone No -7 7 0t " 2 l �A - 0-C(
State:
i
Mail: v"\ J Er?-c
Fill in fee simple title Holder on next page (if different
from the Owner listed above)
E-Mail IN Fv _ � ,U l� (Z L=
State or County License i L
Lc �-C►2� c�
?O d 6 366
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:
Zip: Phone
State:
City:
Zip: Phone:
State:
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 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 attornev before commencing work or recording our Notice of Commencement.
Signatur of Contractor - or - Builder as applicable
STATE OF FLORIDA
COUNTY OF
Sworn to r affirmed) and subscribed before me of ✓ Physical Presence or Online Notarization
this y of 20Z4y
Name of person making statement.
Personally Known OR Produced Identifi do _�
Type of I ntifica ' Pro . �" . 1 . y 9Z 40
(Signature of Notary Public- lorida)
Commission No.6a I535 ea)
;, a. aTHERHOFFMANN
:Wv Public, State of Florida
i.,umrnission# GG 195352
1y coarm. expires Mar. 13, 2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/21
Scope: Replace existing Challenger panel with new Siemens panel, reuse
existing feeders, raceway and main breaker.
Existing 150 amp main
lug Challenger panel.
Existing (3) 2/0 AL
conductors
Existing 2 inch rigid steel raceway
Existing 150 amp main breaker