HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICA LE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: I /
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SCANNED
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Building Permit Application St. LucieCount%.
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Electrical
109r)pnSFn IM15RnVFMFNT I C)CATION:' '% °,, " I
Address: 6375 S US HWY 1 PORT ST LUCIE, FL
Legal Description: MODEL LAND CO'S S/D OF SEC 15 36 40 BLK 2 LOT 2-LESS RD RAY OF US 1- AND LOTS 3 AND 6 AND LOT 8-LESS
W 33 FT FOR RD AND CANAL R/W- IN NW 1/4 (MAP 34/15N) (39.00 AC)
Property Tax ID it: 3415-501-0021-000-4 Lot No. 3/6/8
Site Plan Name: FPL SUB STATION Block No.
Project Name: FPL SUBSTATION
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,OF WORK: `
INSTALL NEW SERVICE AND HOOKUP POWER TO MODULAR TRAILERS
t (1S�? It i V LO 1���� �� Qw _ &)LfU r CA_
('ONSTRHCTION INFORMATION:
/Auumandl wurK LU U@
❑HVAC
er
IUI IIICu UI IUCI U In PUI I I IrL —ulcbn au
❑Gas
I'Mlr'
Shutters
I I
❑ Windows/Doors u
Gas Tank
Piping
_
❑✓— Electric ❑ Plumbing
❑Sprinklers
❑ Generator
❑ Roof
Total Sq. Ft of Construction:
S
W
Ft. of First Floor:
❑
Cost of Construction: $ ( ON
Utilities:
Sewer
Septic
Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name FLORIDA POWER & LIGHT CO
Name: CHARLES HOPPMANN
Address: PO BOX 14000
'Company: BELLWETHER ELECTRIC CO
City: JUNO BEACH State: FL
Zip Code: 33408 Fax:
Phone No.
Address: 571 NW MERCANTILE PL #103
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax: 772-621-9164
Phone No. 772-621-9494
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: BELLWETHER.ELECTRIC@GMAIL.COM
State or County License: EC13004122
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
Zip: Phone:
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 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 recording your Notice of CommencemQn�_,
STATE OF FLORIDA
COUNTY OF ST.LUCIE
The for oing instrujjnne t was acknowledged before me
thisday of1, 20i4by
CHARLES HOPPMANN
(Name of person acknowledging I
(Signature of Notes ary PubTic- State of Florida I
STATE OF FLORIDA
COUNTY OF ST.LUCiE
The forgoing instrument was acknowledged before me
this 29 day of JuLY , 20Wy
CHARLES HOPPMANN
(Name of person acknowledging
(' nature of Notarylic- State of Florida I
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. EE859431 gRWTINE CRAVE IW mission No. EE8594 , -p.: CHR16fWi CRAVEIRQ
M;
MY COMMISSION # EE851 31 : MY COMMISSION # EE859431
fIRES December19,2016
Revised 07/15/2014
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS