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Home My WebLink AboutBUILDING PERMIT APPLICATIONle A ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ``,, Date: SCANNED Permit Number:I'M^I^ c3Q BY z3k-� y:, sa's: .wal qQ i St. Lucie County RECEIVED Building Permit Application APR %R 101111 Planning and Development Services Building and Code Regulation Division Pe St. Lucie countyrmitting ent 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Electrical "A Address: 7397 COMMERCIAL CIRCLE FO(L-t _X169_e,6 , FL 340AS I Legal Description: KINGS HIGHWAY INDUSTRIAL PARK -UNIT TWO-BLK B LOT 22 (1.38 AC) (OR 2810-1497) Property Tax ID #: 1335-802-0044-000-4 Lot No.22 Site Plan Name: Block No. B Project Name: YDC WAREHOUSE Setbacks Front Back: Right Side: Left Side: UPGRADE MAIN SERVICE AND BAYS FROM SINGLE PHASE TO 3-PHASE CONSTRUCTIONINF,ORMATION x-- Aclaitionalworl(torlLnerformea under tis permit — cneCK all Mal apply: CIHVA( Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors R1Electric Plumbing Sprinklers I Generator 0— Roof = Roof pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 21,000.00 S Ft. of First Floor: _ Utilities:llSewer OSeptic Building Height: t. • . n.. r _yx .Y�. �. :. n�: :Ia .`d:3' L%""�. Rd.�:... CONTRACTOR 4 ..r,. '..,.i ,..« s �e:f. �+4 Name l AW, LLC Name: Address: t`FC-r CAI k1(P-` Qwolc Company: JACK'§ ELECTRIC, LLC City: LAKE . `crZna State:FL ZipCode:a3V(ol Fax: Phone No. iS �� a, 3 - .S 3 Address: 6Roak� w\\IE' City: I309T%4 State:FL Zip Code: 33467 Fax: 561478-2221 Phone No. 561-478-2150 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: DOROTHY@JACKSELECTRIC.COM State or County License: EC-13005641 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. C. R ah Aawk SUf�P[:E,�V1EN'F�+,L�L,IN�TRI?GTIQi�tLt�N LA�llt INFL�RMATipl�t� ��`#ham `'�"� � ��. � �w DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: 7397 COMMERCIAL CIRCLE Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: -- - -- Zip: Phone: 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 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 ..,..ri, nr r.,,Ming vni it KIntirp of rnmmpnrpmpnt_ Signature of Owner/ Lessee/Contractor as Agent for Owner Signat a of C or/Lic se Hol STATE OF FLORIDA /1 PQ�M ✓�ch STATE OF FLORIDA OF 1 ALSVN 'beP1_-N COUNTY OF COUNTY The jgqrrgoing instrument was acknowledge before me %1a� The forgoing instrument was acknowledged before me this day of (),%\l 2q$ by this) oC day of 201� by _Lg yj/ 'cam J�SiS a ^ . �0.1\1 .`lQw% L Nm�aame of person Ing statement N me of person�aking statement Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Rcc �i /�S �'FelISC — Type of Identification Produced Produced exan ra B. Del Pozo eY P&O �. N lic (Signature of a SS��I�jreS 0110612019 (Si ature of Nota ublic-State ofolb�`) DOROTHYLGRAN �` of F�� Commission No.Of-0Al CommissiollftOFF 187669 _ ' ' ommisslon # GG 090 Commission No.L^C18%�OCI * eal� EzpiresJuty1,202t N��OF FtQAV Bonded Rm Budgeftary Be REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW EIVED rCODAE E MPLETED Rev.8/2/17