HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r�
Date: 8/1015 �'��,t J� Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
23QO Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION .
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Address: 7420 S Ocean Dr Jensen Beach, FL 34957
Legal Description. Sand Dollar Shores Condominiums
Property Tax ID#: 3522-604-0000-000/6 Lot No.
Site Plan Name: Sand Dollar Shores Condominiums Generator maintenance building Block No.
Project Name: Generator power service repairs
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION DF WORK
E
Replace corroded & damaged meter, elec panels, disconnects, transfer switches & conduits for
emergency standby generator w/ new
CQNSTRUCTION INFORMATION
ona work toa nertormpd underundprWis permit—c ec a apply:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers Generator. Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 22,000.00 Utilities:cn Sewed Septic Building Height:
{7NER/LESSEE _ CQNTRA
WCT4�R.
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NameSandollar Condominium Assoc Name: Michael Pettengill
Address:7420 S. Ocean Dr Company: Electrical Connections
City: Jensen Bch State:FL Address: 1209 SE Dixie Cutoff Rd.
Zip Code: 34957 Fax:772-229-0655 City: Stuart State:FL
Phone No.772-229-5352 Zip Code: 34994 Fax: 772-283-5890
E-Mail:lkusen@aol.com Phone No. 772-283-5792
Fill in fee simple Title Holder on next page(if different E-Mail: Michael Pettengill
from the Owner listed above) State or County License: EC 13001494
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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
Co'hkmencin Wrk or recording our Notice of Commencement.
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_Sig r e f Own see/A ent Signature cf Contractor older
STATE ORIDA STATE OF
COUNTY OF COUNTY Marti
The forgoing instAX
ac knowledgedKefore me The forgoing instrument was ac owledged bore me
this a day of 20 1S by this day of
_;:5_Pj/A E S rB i�N 1'(CCS Michael Pettengill
(Nam of person acknowledging) (Name erson a nowledging)
(Signature of Notary Public-S to f Flori'd4 nature of Notary Public-Sta t
f Florida )
Personally Known OR Produced Identification Personally Known�_OR Produced Identification
Type of Identification Produced Type of Identification Produced known tome
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Commission No. 1^ ��g � Commission No. FF 138707 = ' '' (69I�ON#FP138707
=q � ROBERT GRAYe'L, EXPIRES:July 2,2018
Y�+r?1r'• Mod 71uu Note Pubk Undemkers
a;F 1IR7ni 11
�'• a EXPIRES:July 2,2018
Revised 07/15/2014 af;e� ' 6ondedThruNo"Public Underadrers
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS