HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
l�
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-2553 Fax: (772) 452-1578 Commercial Residential
PERMIT APPLICATION FOR: Electrical
PROPOSEDIMPROVEMENT LOCATION:
Address: 1199 COUNTRY GARDEN LANE
Legal Description: WHITE CITY SEC/TOWNfRANGE 09136S/40E
Property Tax ID #: 3403-502"0232-040-4 _" Lot No.
-
Site Plan Name: Block No.
Project Name: SULLIVAN RES
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL BRANCH WIRING FOR NEW SEWER GRINDER STATRION. INCLUDES ONE WR/TR
GFCI RECEPTACLE. AND IN -USE BUBBLE COVER FOR FLOAT & PUMP TO PLUG INTO
CC3NSTRUCTION INFORMATION:
j'``it""jjionaTwor� o e& aerfarm under t tris permit - c appy:
F1HVAC �
Gas Tank 1:1'GasPiping Shutters Lt Windows/Doors
Electric FlPlurribing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor: _
Cost of Construction: $ 700 Utilities: 0 Sewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR.,
Marne KATHLEEN SULLIVAN"
Name: CHARLES HOPPMANN m- -
Address: 1199 COUNTRY GARDEN LANE
Company: BELLWETHER ELECTRIC CO
City: FORT FIERCE. State: FL
Address: 571 NW MERCANTILE PL #103
Zip Code: 34982 Fax:
City: PORT ST LUCIE State: FL I
Phone No.
Zip Code: 34986 Fax: 772-62.1-9164
E-Mail:�
Phone No. 772-621-9494
_
Fill in fee simple Title Holder on next page ( if different
E -Mail: BELLWEi'FIER.ELECTRIC{wGMAIL.COM
State or County License: EC13004122
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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:
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
belfor%,the first inspection. If you intend to obtain financing,,C°o`nsult with lender or an attorney before
cpmrgencing; woxk or recording your Notice of Commencerdent,'
Owner/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF STIUGE
The forgoing instrnt wa acknowledgedpefore me
this day of m 20 1< by
rlonaa i
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No. EE859431
EXPIRES December 19, 2016
Revised 07/15/2014 4U�. t95-0153 Ftwwa4olaryServicu ow
Signature
STATE OF FLORIDA
COUNTY OF STIUGE
The f r oing ins tr m n s acknowledged before me
this, day ofM A4 20_k� by
�d 0
(Name of person acknowled i g )
(Ignature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
No, EE859431
,:•:° CHRISTIN C AVEIRO
ION a EE859431
EXPIRES Decamber 19, 2016
�4or, 395-0153
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
N�40 J
~:
i I A
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 Residential_
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 1199 COUNTRY GARDEN LANE
Legal Description: WHITE CITY SEC/TOWN/RANGE 09/36S/40E
Property Tax ID #: 3403-502-0232-040-4 Lot No. a
Site Plan Name: Block No. W_
Project Name: SULLIVAN RES
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION CiF WORK:
SERVICE CHANGE TO REPLACE THE 150AMP MAIN BREAKER PANEL WITH NEW 150AMP
MAIN BREAKER PANEL. INCLUDES NEW CIRCUIT BREAKERS
CONSTRUCTION INFORMATION:
—AZd�.._
arms un er Is'perml8 _— c ec a app Y;
i oana war toMasTank
HVAC F]Gas Piping Shutters aWindows/Doors
Electric 11 Plumbing Sprinklers Roof
CGenerator
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ ''800 Utilities: Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name KATHLEEN SULLIVAN
Name: CHARLES HOPPMANN
Company: BELLWETHER ELECTRIC CO
Address: 1199 COUNTRY GARDEN LANE
Address: 571 NW MERCANTILE: PL #103
City: FORT PIERCE State: FL
City: PORT ST LUCIE State: FL
Zip Code: 34982 Fax:
Phone No.
Zip Code: 34986 Fax: 772-621-9164
E-Mail:
Phone No. 772-621-9494 E
E-Mail: BELLWETHER.ELECTRIC@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: EC13004122
i
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP,PLEMWAL CQNSTRUCT[ON LIEN' LAIN/ INFORMATLON
DESIGNER ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
MORTGAGEC OMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 thepermit 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 t e first inspection. If you intend to obtain financing, copsul� with lender or an attorney before
co me cin work or recording our Notice of Comm enceme .- LRU.0 WvAr__�_ - �
1..
Sign re of Owner/ Agent Lessee Signature o Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instt was knowledgo`b-efore me
this day of 20 ('� by
.on d
(Name
of
State of Florida )
Personally Known V' OR Produced Identification
Type of Identification Produced
Commission No. EE65
CHRI E CRAVEIRO
The for (Ding instru en s acknowledged before me
this day of VILAA 204 by
(Name of person acknowledgin }
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. EES59431
MY COMMISSION tl EE859431 r
tt EE8594
'ruM1 EXPIRES (December 19, 2016 EXPIRES December 19, 201E
Revised 07/15/2014,4E)'7",iss-0153 FWWallouT ,)r' 19"153 Fic,idavown-ROM09Ca
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS