HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/19/2016 Permit Number:
• IFA P
Building Permit Application
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
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 900 dj)Prima Vista Blvd
Legal Description: River Park Unit 3-Trac E Cont
Property Tax ID#: 3419-525-0001-000/4 Lot No.
Site Plan Name: Block No.
Project Name: McKesson
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Disconnect Generator, Transfer Switch & Emergency Panel - all to be removed from site
Remove associated wiring.
Reconnect 3rd &4th Floor feeder wiring back to original circuit breakers
CONSTRUCTION INFORMATION:
Additionalworkto e e orme under this permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters . Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1,950. Utilities"nSewer Septic Building Height:
'OW'NER/LESSEE:' CONTRACTOR:
Name McKesson Corporation Name: Warren Griffin
Address:900 E Prima Vista Blvd Suite 401 Company: Griffin Electrical Services, Inc
City: PSL State:FL Address: 1615 Village Green Drive
Zip Code: 34952 Fax: City: PSL State:FL
Phone No.772 621 3107 Zip Code: 34952 Fax: 772 446 4589
E-Mail: Phone No. 772 2012050
Fill in fee simple Title Holder on next page(if different E-Mail: wbgriffin@bellsouth.net
from the Owner listed above) State or County License: EC0002734
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: X 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 toyour roperty. A Notice of Commencement must be recor and posted on the jobsite
before the first inspe . If you intend to obtain financing,consult w' I r or an attorney before
commencingwo r r ordin our Notice of Commencement.
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_`Signature of Ow essge/Agent ignature of Coht0ador7acense Holder
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COUNTY OF �C'� �� c COUNTY OF
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