HomeMy WebLinkAboutBuilding Permit Application 02/04/2016 04:26 7722835890 ELEC CON BY MIKE PAGE 02
FFALLPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 13E ACCEPTED
: 2/4/16 Permit Number.Min
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RECE11"=D FEB 04 2016
Building Permit Application
Planning and Development Services
Building and Code Regulation Divislon
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Electrical
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Address: 9700 Reserve Blvd Port St. Lucie
Legal Description: 3327 314 0020 000/3
Property Tax ID#: 3327 314 0020 000/3 Lot No.
Site Plan Name: Keller Williams Sign Block No.
Project Name: Keller Williams Sign
Setbacks Front -_ Back: Right Side: Left Side.
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Master Sign permit# SLC 1512 0113 install electric for LED sign light ( approx _45amp)
attached to existing pole lights electric
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AddMina work to be nertorme unRer`lms
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permit—check a apply:
❑HVAC Gas Tank []Gas Piping _Shutters Wlhdows/t7oors
ctric 0 Plumbing O Sprinklers Generator Roof
Total Sq.Ft of Construction: 5q.Ft,of First Floor:
Cost of Construction:$ 750.00 Utilities: L�j Sewer Elseptic Building Height:
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Name Reserve Realty&Investment Co LLC Name: Michael Pettengili
Address:4452 Miltary Tr Company Electrical Connections
City: Jupiter State•FL Address: 1209 SE Dixie Cutoff Rd.
Zip Code. 33458 Fax; City. Stuart State:FL
Phone No.561-629-6620 Zip Code! $4994 Fax: 772-283-5890
E-Mail: Phone No. 772-283-5792 772-370-43_94 cell
Fill in fee simple Title Holder on next page(If different E-Mail. mike@eleconnections.com _W
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.
02/04/20I6 04:26 7722835890 ELEC CON pAGE 03
1, 1"o sm 1�111
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPAN Y: 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.Lucia�ountv makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or anscovenants 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 consideratiom of the granting of this requested permit,I do hereby agree thatI 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 pro .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
commencin work or record i rig you r Notice of Comm encemerit.
—Signatureof0w /Lessee/Agent signature of Contmctor/_�Winse Holder
STATEOFF Rl�,, STATE OF FLORIDA
COUNTYO COUNTY OF 8'0_�UI
The forg1ping instrument was acknowledged before me The forgoing instrument was acknowledged before me
this this
Rg'eer Um
(Name of persowknoMpadging) (Name of person acknoQedging
(51g Waur,of NLotO/, �ublic-State of Florida) (Si ure`GTN&y Public-State of Florida)
Personally Known 09 Produced Identification Personally Known OR Produced Identification
10
LOCID,
Type of Identificatibn Produced Type of Identificatlon Produce
Commission No, Commission No.
PP WAY
W so 0 FF 135V MY NIHON I FF Iry
Revised 07115/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS