HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5` a� 1 �°� SCANNED Permit Number:
BY
';t 1_ucie County
- Building Permit Applicati n
Planning and Development Services MAY 2 a 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST, 6UCI9 CPLInty, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT TYPE: Electrical C die
PROPOSED IMPROVEMENT LOCATION: Electrical Service Rack"
Address: 25560 Minute Maid Road, Fort Pierce, FL. 34945
Property Tax ID d: 111113100010004
Site Plan Name: Fort Drum
Project Name: Fort Drum
DETAILED DESCRIPTION OF WORK:
Remove/Replace obsolete 10' x 5' electrical h-frame
with new post/pipe, unistrut and mounting hardware. Replace any wiring that is rusting.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
X Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 8,000
_ Gas Piping
Sprinklers
Lot No.
Block No.
_Shutters —Windows/Doors
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name American Tower
Name: Jonathan Crompton
Address:10 Presidential Way
company:J. Crompton Electric
city: Woburn State: MA
Zip Code: 01801 Fax:
Phone No. 866-586-9377
Address:1290 Old Congress Ave
City: West Palm Beach State: FL
Zip Code: 33409 Fax:
Phone No 561-588-6559
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permitting@jcromptonelectric.com
State or County License EC13002872
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
;SUFPLEtv1ENTAL GONSTtJCFifN*LIEN IAW (GVFORMATIONt
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DESIGIN ER/ENGINEER: _ Not Applicable
N a me: Waypoint Engineering and Equipment LLC
MORTGAGE COMPANY: _ Not Applicable
Name:
AddreSS: 820 W. indiantown Road, Suite 105
Address:
City: Jupiter State: FL
Zip: 3wa Phone 561-252-1220
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contracto�ry se Holder
STATE OF F. O DA
STATE OF FLQQ3f�1pA
COUNTY OF�IIA,6a%-
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ame of person makiing state ent.
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Personally Known 14— OR Produced Identification
Type of Identification
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