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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 r- i r c 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%- COUNTY 0P 1 NA— T e r Ing instr entwas acknowled before me The f n inst�uf��en�twas acknowled � before me thi ay of 2 by thi "day ofl V\EA 12� I by �� � Name of person making statement. ame of person makiing state ent. VL— Personally Known OR Produced Identification Personally Known 14— OR Produced Identification Type of Identification Type of Identification Produced obf1 Produced U00000- (Signature of Notary Pu Signature of N •°w*'='^ CLAUDETTE" �"HSABOL ••°A. .... CLAUDETTEPd'+Plll ABOL Commission No. .- ,:Commis- :158270 • • :: t,� " �jommission No.:: ,.Comm4ssion#wi8&' i?:2i23 l�I5a37U .a: soutisMzy1�3,28e- L -�'.Aoif;°.'•'' /y y<oFl,�"• •, .:;zrancs 800�85-7019 rt LqI Z-L B.nd=d Thm T,sy Fain ir.suranv F00-385.7019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.