HomeMy WebLinkAboutelectric subffi PLANNI}fG & DEVELOPMENT SERVICES
Building & Code Compliance Division
I}UII,DING PEIIMIT
S UB.CONTRACTOR ACREEM ENT
llIE Contracting/Modern Electric
_ r Conrpauy, Nrrrrrtt,r.tiri,f r.f Narnef
the Electrical
have agreed to be
i lype ofTlade)Sub_contractor for Northstar General
iPrimary Conn'actor)
l''ur Lilc project located at 7558 S US1__
rrroJecl strecr Address or propcrqr Tox ID #)
.11 is uttderst*ttd that' if there is any change of status regarding ourparticipation with the above mentioned
lrl'orect' rhe Building and code Regulation Division of st. Lucie county will be advised pursuant to the
riline of a Change of Sub-contractor notice,
\rlrc oi lil{,r.idfl. cor,rrry ur BR0,(dA,RI) I
i hr lrrrcgoing insl'.mcnt *r,as slgncd bcforc nrc ,nO 22.,!l*uActL,* ;; i,*a*.*L* {J ;'
Joshua L Aqriesti
3291 6
stsrr orFlorida, county or BlOWafd
Thc rorcgolng lnstrumcrt wss rlgncd bcroro mc tt,t" J 1 oul' orrl*rclu -,ro$o, ,,!/S/,,ttq- t ,fui.ttS,h
rvho is pcrsonalty knoon;/'or has producrd a
r! Identlrlcrtlon,
frfr,*r^ /rum,
Patncia. Pa"ro t{q
$ill.fiq PATRToTAnARRoTTA i
. .hA6 * Commission # HH 07g086'?hqiff.; Expires Decembe r't6, 2024'('o,,6l'o$ BondedThruBudgetNohrySrrylc€s
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'.$,,i'If,.{u;. --lrlril uarra
iii #$ l.! MYcOMMtsStoN tt}c2szSTs
.i+7--,$;of:S EXPIRES: August 1 2, 2022
";liiiJ.L,'.1" Bnndsd l'hru Notarv pulric Iln.,amla,
I(evised I vt6n}l6
STAMP
hus produccd a
S1'AMP
AIIAPPTICABIE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDDate: 1-Al - LoZz permit Numbef: sLC_ zr-o7 _ a7 s2
Plonning and Development Services
Building ond Code Regulation Division
Building permit Application
2300 Virginio Avenue, Fort pierce FL 34gg2
Phone: (772) 462-L553 Fax: (772) 462_1,518
Commercial x Residential
CBDG Funding _
Address: TssB s us1
Property Tax tD #:
Site Plan Name:
3422-858- oool_ ooo/7
Prima Vista Crossjngs Lot No. D1
Project Name:Block No.
Convert space back Lo vanilla
New ElectricalMeter Second Electrical Meter Affidavit required)
Additional work to be performed under this permit - check ail that appry:
_Mechanical _ Gas Tank _ Gas piping _ Shutters _ Windows/Doors _ pond
_ Generator _ Roof pitch
Sq. Ft. of First Floor:
X Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $Utilities: _ Sewer _ Septic Building Height:
lfvalueofconstructionis2500ormore,aREcoRDEDtrtoticeof@
lf value of HAVC is S7,5oo or more, a RECORDED Notice of commencement is required.
S_ r,"-; LttCll[E -=r
I]IoYUiJrrteavd
PE RM IT APPLI CATION FO RM
PROPOSED I M PROVEMENT LOCATIOTU
DETAILED DESCRIPTION OT \'ORK
CONSTRUCTION I N FO RMATION :
OWNER/LESSEE:CONTRACTOR:
Name
Address:
City:State:
Zip Code:
Phone No.
Mail:
Fax:
E-
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Joshua Agriesti
Lompany: udre Contracting dba Modern Electri
Address: 240 N pixie Hlghway #18
City: HollYwood State: FL
Zip Code: 33020 Fax: 954 -927-7910
phone 5o 954 -927-6360
E-Mail j osh@j afecontractlng. com
State or County License
lTLEYlrat coNsrRuclo
Zip: -----Tho*
MORTGAGE COMpANy: _- G Apph.abt.Name:
FEE SIMPTE TITTE H
Name:BOND|NGCoMPANG
Name:
owNER/ CONTRACTO* lI certify that no work or instalation r,.r .orrlunled prior to ilre issr,anle-of a permit.
ft1i}',':""iflfii'JdlfHi{fthT'fffiisfSs#nEEfl:Hiiiififi:ffii]il#]fd{is,f"flflq3flii:f]llfl,i?,#ffr?i"h:hjr!r,:'#'"
ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workIn accordance with the approved pt.ns, tr,e ito;il Brii;i;s;;;r;;j3i:Lrcie county Amendments.The following building permit applications are exempt from undergoing a fuil concurrency review: room additions,accessory structures, swimming pools, fences, *rttr, ,ignr, r.r";;;;;;;ana accesso*1", i" ,""rr..,er non_residential useWARNING To owNER: Your failure to Record a No-tice of commencement may resurt in paying twice forlmprovements to your property' A Notice ""i6.;;.;.r.nt must-ue iecoioLo in the pubric records of st.Lucie countv and fostea ;; th;6bsiig-9e1o1e the first inspection. rf you intend
n,J",J:ilX?:,ronsurtl-
:or - Owner Builder -;pplicabb
broward
:ilo"Pi !",','il'frfl f ?q J3"' o'
: Noffi " "'l Physical presence or _ Online Notarization
Na me of p"rron m. kGffiiilET
Personally Known X oR produced ldentification
Type of ldentification produced
Pafi,L,c.* €W
elrnrcnemnorrn f
Commission # HH 073086 i
Expires Decembe r 16,2021 :
Bonded lhru Budgel Notary Sefliccs
-
(5rgnature ot Notary public_ State of Florida)
commission *o.t-Jtlorlg0{b t "",1