HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
— -ImBY
St. Lucie County RECEIVED
Building Permit Application
Planning and DevelopmeniServices MAY 10 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 6120 Glades Cut off Road, Ft Pierce, FI 34961
Legal Description: Landfill
Property Tax ID #: V ' ® Lot No.
Site Plan Name: Block No.
Project Name: St Lucie County Landfill - Leachate Pump Station
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Provide and install wiring for new leachate detection and pump station.
0HVAC 1-1 Gas Tank
ZElectric El Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 28 586.00
Piping Shutters ❑ Windows/Doors
nklers LiGenerator Ll Roof
SaI �Ft. of First Floor: _
Utilities:Cn Sewer E]Septic
Building Height:
Roof pitch
OWNER/LESSEE:
CONTRACTOR:
Name St Lucie County
Name: Thomas Granims
Address:6120 Glades Cut Off Road
Company: Paragon Electric of Caro, Inc.
City: Ft Pierce State: FL
Zip Code: 34961 Fax:
Phone No.
Address: 9120 16th Place
City: Vero Beach State: FI
Zip Code: 32966 Fax: 772 299 5167
Phone No. 772 569 8961
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: paragonelectdc@bellsouth.net
State or County License: EC0002731
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN, LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
N a m e: St Lucie County
MORTGAGE COMPANY: _ Not Applicable
N a me: Thomas Granims
Ad dreSS: 6120 Glades Cut off Road, Ft Pierre, n 34951
Ad dreSS: 6120 Glades Cut Off Road
City: Ft Pierce State:
Zip: Phone
City: Vero Beach State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address: 912016th Place
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
commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF :Z- glu,4
COUNTY OF Tn�Jp� IQJo�.e
The forgoing instrume t was acknowledged before me
The forgoing instrument was acknowledged before me
this _JLday of offigy 20L by
this4�_dayof MAY 20L by
%7�rA5 G,¢gvhns
/Li/l�.Tes 6r�t/ilr�
Name of persoy making statement
Name of personj�aking statement
Personally Known ✓ OR Produced Identification
Personally Known t OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
,.••":p.. KRISTEN BREWER
JA
(Signature of Notary F-`TJlpIfB31t berg, 2020
(Signature of Not ry," ' k9�l%T§f1fQ8
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'4 Tres Noveinbp�F 26
Commission No.
Commission No. %.
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TNuTmrFaM 80039570t9
REVIEWS
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ZONING
SUPERVISOR
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MANGROVE
COUNTER
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17