HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/19/2016 Permit Number:
MW Building Permit Application OCT 19 2016
Planning and Development Services PERMITTING;
Building and Code Regulation Division St. Lucie County, FL
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: 14175 Range Line Road
Legal Description: Parcel#4255-111-0003-000/5 St Lucie County
Property Tax ID#: n ons s c0' s) Lot No.
Site Plan Name: Block No.
Project Name: Existing Scale House, Main Breaker Installation
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: -
Add in an additional Main Breaker, with greater AIC rating, to meet NFPA 70, arc flash standards.
The Breaker is 3 phase, 175 amp, 600 volt rated, for the existing 175 amp, 480 volt service. The new
breaker will be installed between the indoor panel and the outdoor meter can.
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC Ei Gas Tank ❑Gas Piping Shutters a Windows/Doors
RJElectric Plumbing OSprinklers Generator EiRoof Roof pitch
Total Sq. Ft of Construction: SIfewerFlSeptic
Ftf First Floor:
Cost of Construction... 2000 UtilitiesBuilding Height:
OWNER/LESSEE: CONTRACTOR:
Name Mabel Groves LTD, Vulcan Materials Company Name: James W Kirkland
Address:14175 Range Line Road Company: Kirkland Electrical Contracting
City: Port St Lucie State:FI Address: 1101.9 West Chickasaw Lane
Zip Code: 34987 Fax: City: Crystal River State:FL
Phone No.561 461. 8052 Zip Code: 34429 Fax:
E-Mail: Phone No. 352 6016377
Fill in fee simple Title Holder on next page(if different . E-Mail: jpckirklandCearthlink.net
from the Owner listed above) State or County License: EC 13002016
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:
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
commencing work or recording our Notice of Commencement.
w V'1." , S
Si atu of Owner/Lessee/Contractor as Agent for Owner Signa re of ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 11C',IF COUNTY OF
The fo oing instru nts acknowledged before me The forgoing instru nt as acknowledged before me
this day of 20 Eby this e day of 20 J by
(Name of per n a knowledgI( MD (Name per on acknowle in ) �R.m� t(MOD
c9��
(Signature of Notary Public-State of Florida) (Signature of No aryPublic-State of Florida)
Personally Known OR Produceddentification v Personally Known OR ProduSedId Identification
Type of Identification Produc �`� Type of Identification Produced �
�a;:p� KAREN S. NIELSEN
Commission No. 5 _ *_(mission S FF 11 56370 mission No.
1. ate,: My Commission Expire a o'�"""�;n�, KAREN S. NIELSEN
°• 0i10:•`'� Jun :. Commission k
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ov,��,r My Commission Expires
Revised 07/15/2014 „`� June 12, 201 a
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
COMPLETE
INITIALS