HomeMy WebLinkAboutBUILDING PERMIT APPLICATION_1
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ALL APPLICABLE -INFO -MUST -BE -COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
I
RECEIVED
•
_14-
Building Permit Application Nov o.1 2019
Planning and Development Services permitting DI
payment
Building and Code Regulation Division St. Lucie county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:. (772) 462-1553 Fax: (772) 462-1578 Commercial YES Residential
PERM.IT.APPLICATION .FOR: Electrical SCANNED
PROPOSED IMPROVEMENT LOCATION:
Address 8281 Business Park Drive, Port St Lucie, Florida 34952 St Lude County
Legal Description: St-Lucie'Business Park-Lots-5 and 6
Site Pla
.Project
Tax ID #:-3426-702-0006-000-4
Name-.
lame: 400 Amp Electrical Service Upgrade
front Back: Right Side: Left Side:
1ot`No.-5-and 6
Block No.
DETAI�ED DESCRIP71ON OF WORK:
Remove e�Cisting 200 Amp Meter Can. Replace existing 200 Amp service with a new 400 Amp Meter/Main with 2-200 Amp Main
disconnects. -Existing 200 Amp -Panel -to -remain on left side-of-new400� Amp-meter/main.'New200Amp -Panel to -be installed -on the -right
side of th i new 400 Amp meter/main.
CONSTRUCTION INFORMATION:
Additional work to b
jrtormed under this permit — check all t= apply:
-EH AC LJ Gas Tank E]Gas-Piping LJ Shutters Q Windows/Doors
ZEl lectrie Q Plumbing L]Sprinklers Generator Roof Roof pitch
Total'SgJ Ft of Construction: S . Ft. of First Floor: 16;464
Cost of Construction: $ $3700.00 0tilities: 1Sewer QSeptic Building height: 13 FT Add I
I
OWNERAESSEE:Owner
CONTRACTOR:
Name
Addres
City:
c � K ez,
Name:
`Company:
Address: 3(Qe
9a, 1J0uS;
UC; 0-State: J�
Zip Cod
Phone No.
E-Mail:
-Fill-in-fee-simple
from the
IeI: 3q S 7 Fax:
9 / - 92C
City: State:
Zip Code: S3LQ 1 Fax:
Phone No, bi
-E-Mail:
State or County License:
l Ll-7 b
c� w��� �idc A&ct , , CO
Title -Holder -on -next pe-(-if-different
Owner listed above)
construction -is $2500 or -more, -a -RECORDED -Notice -of -Commencement -is -required.
SUPPLEMENTAL CONSTRUCTION `LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
-Name
_
-Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
_
Name
Name:
Address:
Address:
City: i
City:
Zip: Phone:
Zip: I Phone:
I
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 undergoinga full concurrencyreview. room additions,
accessory structures, swimming pools, fences, wails, 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 jobsite
before the first inspection. if you intend to obtain financing, consult with lender or an attorney before
commencine work or receMine vour Notice of Commencement.
i
i
Signatu e o r/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Lice of er
STATE�OF FLOR DA.
STATE OF FLO A
l 1;e.olc h
COUNTY OF = g r i+ LIACI .e—
COUNTY OF l n
The forgoing instrument was acknowledged before me
thisl�iay of Q^Y�ee-- . 20 by
Th fodping instrument was acknowledged before me
thil day of C�C�iSP/►� 2-0�i by
C.h0-C r'r�'P.O!`cin
i12u� L vas
Name of person making statement
Name of person making statement
Personalty Known OR Produced Identification
Personalty Known OR Produced Identification
Type of Identification
Type of Ide ification
Produced FA_ D
Produced �El dr, (�.�/r�`� 11 ef11Sif
I A-NICOLE ORTADO
A t,ass SCHELCIE S. ALTY
o NOTARY PUBLIC
(Signature of Nota�PublicF r14FE OF FLORIDA
{Signature of Notary Public-M _ WkE OF FLORIDA
Commission No. Comm# FF180038
�s 12/1/2018
�� -' 0r C rn# FF�03919
Commission No. 1reE to txpRA 2/26/2019
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