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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: I�8- Max)
BY RECEIVEDSt. Lucie County
Building Permit Application AUG 01 2015
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Electrical
PRnphun IMPRnVFMFNT 16CATION:
Address:- I `I / C:4`1-1-0 Wl `F H V C ►_�L. J —f f U
Legal Description: S419•s30• Ora?• "-7
Property Tax ID #:
Site Plan Name: LIFT STATION NP-03
Project Name: LIFT STATION NP-03
Setbacks Front Back: -
Right Side: Left Side:
Lot No.
Block No.
DETAILED'DESCRIPTION_',OF WORK.
INSTALL NEW ELECTRICAL SYSTEM FOR THE REFURBISHED LIFT STATION NP-03
..: x• _ :y). ten^ :.. _. e':. ., '" a d. .,, '
CONSTRUCTION INFORMATION: -
Additional tiona work to be ej orme under this permit -c ec a apply:
❑HVAC nGasTank ❑Gas Piping _Shutters ❑Windows/Doors
❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof
Total Sq. Ft of Construction: Sct. of First Floor:
Cost of Construction: $ 20,000.00 Utilities: Sewer ❑Septic Building Height:
OWNER%LESSEE
.CONTRACTOR: as
Name CITY OF PORT ST LUCIE UTILITIES SYSTEM DPMT
Name: CHARLES HOPPMANN
Address: 900 BE OGDEN LANE
Company: BELLWETHER ELECTRIC COMPANY
City: PORT ST LUCIE State: FL
Zip Code: 34983 Fax: 772-873-6433
Phone No.772-873-6400
Address: 571 NW MERCANTIL 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 requires.
SUPPLEMENTALCONSTRUCTION LIEN LAW'INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
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
commencing work or recording vour Notice of Commencement.
STATE OF FLORIDA
COUNTY OF ST.LUCIE
The fo ing instr nt was ac nowledged before me
this 3day of 20 � y
CHARLES HOPPMANN
(Name of person acknowledging)
(Sign ture of Notary P ic- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. EEB 9^?7„'+"'•• HRI$ CRAVEIRO
' = MY COMMISSION # EEHF4e9t
;ar EXPIRES December 19, 2016
Revised07/15/2 I398-0I53 FIorIOalloa 9nnma
STATE OF FLORIDA
COUNTY OF ST. LUCRE
The f ing instr nt was ack owledged before me
this Yday of 20__+q-by
/T
CHARLES HOPPMANN
(Name of person acknowledgin
(Si Lure of Notary Pu Late of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. EE859431
MY COMMISSION A EE859431
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