HomeMy WebLinkAboutJob 8030466 - Electrical Permit Application SignedAll APPLICABLE INFO MUST HE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; Permit Number:
I . L�N1C�llG
o
V 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
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 61 El Camino Real, Port St Lucie, FL 34952
Property Tax ID q: 3426-500-0271-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Install 120v transfer switch; exterior inlet; interlock kit
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
XElectric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 1451 So. Ft. of First Floor: 1451
Cost of Construction: $ 1570.00 Utilities: —Sewer —Septic
Building Height: I
OWNER/LESSEE:
CONTRACTOR:
Name )wnes Croteau
Name: Donald Green
Address: 61 El C'�arnion steal
Company: don Green Electric
City: Port St Lucie State: FL
Address:1305 W 1st St
Zip Code: 34952 Fax:
City; Fort Pierce State: FL
Phone No. (954) 249-4924
Zip Code: 34982 Fax:
E-Mail: jimcl490@beilsouth.net
Phone No (TT2) 418-5739
Fill in fee simple Title Holder on next page ( if different
E-Mail permits@dongreenelectric.com
from the Owner listed above)
State or County License EC13007447
If value of construction Is 25W 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:
EER: -- Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE BOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY., _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
Zip: Ph
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 roams 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.
Signature 6f Owner/ Lessee/Contractor as Agent for Owner
Signature f Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFem-ae
COUNTY OF —
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Prese a or Online Notarization
this 2%day of AA kr� . 2022 by
this n day of h 2022 by
Don Green
tlar
of person making statement
Name of person making statement.
naliy Known x OR Produced Identification
Personally Known x OR Produced Identification
Im
of Identification
Type of Identification
iced
Produced
Eq
E
y
of Notary Public- State of Florida)
(Signature a ary iic- State of FloridaCofission
[ture
No. fr�p2— (Seal)
Commission No. ft"7p%2 (Seal)
o�
d�
sd!
IEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
z
0
a io r—
�31 D
o3vC
3a'�rn
x W S E:
o � T -v
o rno CA
w M
a