HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie County 411r, 26 2019
Permitting Department
Building Permit ApplicatidWLIe County
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE: Electric
PROPOSED IMPROVEMENT LOCATION:
Address: 10310 S_ Ocean Dr, Jensen Beach, FL 34957
Property Tax ID #: 4511-515-0000-000-2
Site Plan Name:
Project Name: Fire Pump Controller
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK:
Fire Pump Room - Installation of conduit, conductors ans load center, including new service to (new) 120/208 3-phase
fire pump controller with associated branch circuitry for jockey pump; replace existing load center "PH" with new 12/208
3-phase load center
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
—Mechanical — Gas Tank — Gas Piping Shutters —Winclows/Doors
)C Electric — Plumbing — Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 13,500.00 Utilities: —Sevver —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Oceandse Condominium Assoc
Name: Michael Dale Ault
Address: 10310 S_ Ocean Dove
Company: Ault Bros, Inc. Electrical Contractor
City: Jensen Beach State:
Zip Code: 34957 Fax:
Phone No.
Address. PO Box 1528
City: Port Salemo State: FL
Zip Code: 34992 Fax:
Phone No 772-283-5520
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail aultbros@yahoo.com
State or County License EC0001 693
It value of construction is 5ZSUO 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENGIN EER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
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 Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in con4ict with any applicable Home Owners Association rules, bylaws or an9covenants 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." .
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Rev. 217119