HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 8J22t2017 Permit Number:
Building Permit Application
Pbnnyg and DevekWrnent Services
Building and Code Regutotfon Division
2300 Vu*g nio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Electrical
Address: 10644 Fine Cone Lane
Legal Description: PINE HOLLOW -UNIT ONE- LOT 12 (1.08 AC) (OR 3944-525)
Property Tax 1D#- 2321-801-0012-000-8 Lot No. 12
Site Plan Name: HaffisOn Block No.
Project Mame:
Setbacks From Back: Right SideLeftSide:
Replabed 200 4W --.,panel like for like, updated grounding system.
C3HVAC U Gas Tank
Electric D Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2300.00
_rr-r'
Gas Piping _ Shutters Windows/Doors
Sprinklers Generator Roof Roof Pitch
. Ft. of First Floor:
Utilities Sewer[] Septic Building Height:
N . ame±2nnY
Address: CMR 414 Box 2168
City: AIM Stater
Zits Code: 091 73-0022 Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next One (if different
from the Owner listed above)
Name: John A.Pankras
Company: E#te Electric .& Air, Inc.
Address: 1691 SW S Macedo Blvd.
City: Port St. Lucy State: F)
Zip:Code: 34984 Fax: 772-340-3702
Phone No. 772-340-3797
E -Mail: Penniteeiiteelectkandair.20m
State or County License: EC13006036
If value of construction is $2500 or more, a RECORDED Notice of =mencement is required.
DESIGNER/ENOWUM ; IWL MFIJIMAIM�
Name: An" Fid
Address: 10644 fne cone Lw*
City; APO State:
Zip: Phone
MORTGAGE COMPANY: ( Not Applicable
Name: Jolm A
Address: CMR 414 fox 2168
City: PW St. Ulde State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Appncaoie
ine: N
N
Address: 1691 sus m.NN60 ewa. Address:
City City:
P Phone:
Zip: Phone:
s hereby made to obtain a permit to do the work and installation as indicated.
OWNER/ COURACTOR AFFIDYITi Application
I certify that no work or installation has commenced prior to the, issuance of a permit.
St Lucie Coun u►akes nMVLo representation that is.grar►t a-perrtut v"u authorize the permit holder to builmay the restrict
or t structure
which in int wes no �Pplicable Home Owners in Con rules, bylaws or and covenants that may restmay rict or prohibit such
stricture. Please consult X your Home Owners Association and rewhrw your deed for any restrictionsetsperform
ert rm he work
iy
this -requested permit, Ido hereby agree that t will, in all respects. P
in consideration of the granting of
in accordance with the -approved pians, the Florida Building -Codes and St. Lude County Amendments.
The following bedding 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-residenti�aiCe for
WARNING TOOWNER: Your failure to is Record a Native of
Cowwrierwomelft may refit in your paying
improvements toyourproperty. A Notre of Commencement must be recorded and posted on the jobsite
before the first inspection. lf you, in.r Ka+ o o ommencng, t sult with or an attorney before
S�rhature of
teat as Agent for Owner Signature of Contract r/ ' nse Holder
STATE OF FLORIDA
STATE OF FLOOR
COUNTY OF
COUNTY OF
fore rrle The forgoing instrument was acknowledged efore me
`Rhe forgoing irtstrtnri>?nt was ack this 22w day of 20 by
22N day � A"� _, 20 by
Nanieofperson making -statement
Name of pew^ making statement. Personally Known x OR Produced Identification
personal** n' xt1�t.Produced Identificat ► _, _ __ Tyke of identification
Type of idend"on Produced
Produced
(Signature of N Public -State of Honda !
(Signature of Notary blic- State of Florida)
40- LEE mmission No. GG2W72 LEE
Commission No. E tort MY COMbRssloN r 0=002M
1�YCOMI►fsslox:cat
EXPUM OaMibW 1Z. E7aaw: Owbr 14
0;
VEGETATION� SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW
RE-F-c`''ruC.
NOT TO SCALE
#69# SW S. Macedo Btcd.
Pat St Lucie. FL 34994
• Pamis
t.! -
• AC Maintenance
• Skttchea and outlet;
?� € ELECTRIC & AIR lrlc. • lnsta## fixtures
• Andmore ...
Electric -Air Conditioning - Generators
Ile C13ou4.03b CAC1816433,
WWWAw*4"CmC
T Wo3797
»tsHODIft
I. size Service: Pad OLW.. a
2. CDndnc for size: I Zmtit
3. a Metier Main: �
b. Mawr Can Only: d
Grounding Electrode Conductor Sime
❑ #6
e#4
❑ #2
❑ Odu r
CO,/NSTRUCTION TYPE:
& Residential
❑ Mobile Home
❑ New Installation
r Old Inscatlation