HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I p�
Date: 05/18/2017 O SCANNED Permit Number: -,I I 0 Is- n�q 9
c/ St BY 6" g E t- gr&r =-
• . Lucie Cniinttr {
Building Permit Application MAY 1 C 2017
Planning and Development Services PERMVrTING
Building and Code Regulation Division St. Lucie County, L
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X _ Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED -IMPROVEMENT LOCATION:
Address: 905 Shorewinds Drive, Fort Pierce, FL
Legal Description' 1.2" am Tvurtasasmwromvm vmms-mmst�unswox =o:WoszowevMxvrovoixoaum TPu, Mo 4LWNWa Wff
PIERCE INLET AND W OF ATLANTIC BCH BV AND LOT 6 AND13.8 AC TRACT ADJ WLY LI OF SO LOTS 3 AND 41N TUCKER COVE AS IN DBK 224-72 (OR 217-1336)
Property Tax ID #: 1436-220-0000-000-8
Site Plan Name: Fort Pierce Inlet State Park
Project Name: Fort Pierce Inlet State Park
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK
Right Side: Left Side:
Install 200amp single phase electric service to run food truck.
Lot No.
Block No.
CONSTRUCTICIN INFORMATION:
Additional work to e e orme un ert Ispermit-checka apply:
❑HVAC 11GasTank E]GasPiping In _Shutters Windows/Doors
Electric El Plumbing Sprinklers 11 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 12,000.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name -Q! c� ply. ,p
ame: R obert E. McAfee, Jr.
Address:�tp b S
W
Company: McAfee Electric, Inc.
City: T 1 i C'e Stat.-12-f 4
Zip Code: S A Fax:
Phone No. —Z-A ^T� G 1- 2G1 SQ
Address: 1860 Old Okeechobee Road #205
City: W.P.B. State: FL
Zip Code: 33409 Fax: 561-686-2671
Phone No. 561-686-6868
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: McAfeeElectdc@aol.com
State or County License: EC0002766
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: x 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 our Notice of Commencement.
E)A c ioaL l= �J � Q�� 5
Signature of O er/Lessee/Contracto as Ag t for Owner Signature of Contractor/License Holder
—�,
STATE OF FLORIDA STATE OF FLORIDA
� I j )CI
COUNTY( • 1. Ja' -, COUNTY OF 1
The fo oing instrument was acknowledged before me
this Tdayof 201F —by
(Name
The fo oing instrument was acknowledged before me
this � day of m�� 20 A by
(Name of person
of Notary Public -State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced_ tr I.. �,1 Type of Identificatiioon Produced r ' . y) L.
Commission Na. �D ,Qission No. 1
AREN S. NIELS °"""' KAREN S. NIELSEN
<,.,
Commission 1! FF 11 637 I� 'i�„��: Commission R FF 115637
Revised 07/15/2014
I -''%1`31.-;OV June 12. 2018 II
II''%:?"°' June 12. 2018 II
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