HomeMy WebLinkAboutBuilding Permit Application i
I
i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: January 17,2017 Permit Number:
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 Residentiall X
PERMIT APPLICATION FOR: Electrical
°'PROPOSEQ 11UIPR`bVEM:ENT LOCATIQN
Address: 2475 Cashew Lane Lot 147
Legal Description: 33 34 40 S 650 FT OF NE 1/4 LYG W OF US 1-LESS TRACT TO RUSSO-
ANDTHAT PART OF N 10 AC OF NW 1/4 OF SE 1/4 LYG W OF US 1 (25.12 AC)(OR 1768-2079)
Property Tax ID#: 1433-130-0004-000-1 Lot No.147
Site Plan Name: Ridgecrest Mobile Home Park Block No.
Project Name: Ridgecrest Mobile Home Park
Setbacks Front Back: Right Side: Left Side:
I
Upgrade electrical service to home 125 amps
Repair code violations in home
,
11
CONgKKTl0W1(NFO,RIUTATION
Additional work to be er orme under;tliis permit—check at apply'..
❑HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof; Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1975.00 Utilities: ❑Sewer❑Septic Building Height:
OWNER/LESSEE CONTRACTOR
NameRidgecrestMobile Home Park%Riverstone Communities Name: Jeffrey R.Waite
Address:300 E Maple Road Company: Infinity Electric Co. Inc. I
City: Birmingham State:MI Address: 630 Tall Pines Rd.
Zip Code: 48009 Fax: City: Haverhill I I State: FI
Phone No.772-461-0459 Zip Code: 33415 Fax:;561-588-3805
E-Mail: Phone No. 561-6629299
Fill in fee simple Title Holder on next page(if different E-Mail: InfinityElectric@bellsouth.ne't
from the Owner listed above) State or County License: EC13005456
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
Rid ecrest MHP
24-5 Cashew Lane
Upgrade service for home froi3l NO to 125 anips.
Upgrade sub-panel adjacent to.left rear off home.
Ulplgradc conductors -,or 125 anlp service. I�HI_ Etc';
Repair code i olatians in ho-me; sucla a.s: u =�
open hires, loose de-vice boxes, broken lighthig s
dxture s.
o:ld�u= .." 'JC'c%2u1;_i1L1£=1 1 2JnJ' � I' ~•
_
T _1-,au 1dE d Co?1d:1Czo . %v-111 sE =1 'Ci 2iL
Grc;_in uia, ccTld_tc i rt. =L: _ ti•
_ J G.�-..ltc_! 'I__ _ IE.'-_eC e� •''`L- } L..•
C?111�iC:oi r ;Ll'11'u1F1 18n„1'??(tom --
�rG�li1
- tiCx1dL1C:Li:c �h` — - -
Cs�1Fld_l� Ei•'_'C::'Cd�:=�' C_1
it':cG r tC' i _..._•'.C:I_c _- j L�C� �1 j �+
-5-cu. {rC::y_ d=dio_'_ducm fY .i
C, &n.a Co_d-Pto. Al
• ' 4 :: I ( �f 1 I
'C.^.."SYO1ae-Ir is _
C1t CCLiS 235 =��'_i. Fi i 1 Load C31Clsla7do i +
i
- i i l 6-2;;a.x '9'.+'o ='181-23a. per 550.31
nzin. co.nduceUr ='?r 0 cu, o r�r d al.
I
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: I
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Count 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.
I
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.
Sig tu`' ofvdi
Oer/Lesse /Contractor as Agent for Owner Sign ur f C�rftractor/Li ase Holder'
I '
STATE OF FLORInA STATE OF FLORIrAA
COUNTY OF1� COUNTY OF_. dk\---L
I
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this %"-1 day of 20 by this day of 2b I'" by
(Name of person acknow ding) (Name of person acknb ging)
(Signature of Notary Public-State of Florida) (Signature of Notary ublic-State of Florida)
Personally Known___OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced J 'L
I
Commission No. '0y b`-L6O (Seal) Commission No. $`k-a" (Seal)
I
tuts
tt Jog at''.,._ Ltj
1Zevise (;i�J 1 �iNatary Pub -Slate of Florida S Notary Public-state of Florida
Commission #FF 948450 Commission #FF 948450
rp.,jail 6.2020 r,. o I
REVIEWS ��' L I G SUPERVISOR PLANS VEGETATION SEA7URTLE'" 'MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
I
INITIALS
I '
i
i
I