HomeMy WebLinkAboutBuilding Permit Application From: 10/11/2017 15:59 #013 P-002/003
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �7 7tov]Date: 1l L < / D -�
Permit Number:
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Building Permit Application
Planning and Development Services OCT 11 t
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 - -
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Address: 1068D S.Ocean Drive Unit 401 Jensen Beach FL 34957
Legal Description: Condo
Property Tax ID#:
Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side: F __
DETAILED D �CRIPTlON O WORK
Meter stack for this unit has one bad meter jaw clamp. Property has a spare one to replace it. We want
to swap it and restore power. FP!_ has a by pass in now.
CQNSTRUCTIQlV INFt3Rl41A '!Q>�
I
itta-'o a work oe�b`�re or"me un er t is permit-check a app y�
HVAC Gas Tank ❑Gas Piping L�i Shutters ❑M1Windows/Doors
aEI
ectric ❑Plumbing
[]Sprinklers g r
— P �Generator �Roof Roof pitch
Total Sq.Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$4 D 0 , 00 Utilities: Sewer E—I Septic Building Height:
Cpl�TtiCTfJ
Name Nicholas Kokanos Name: Thomas J.Patri
I Address:10680 S.Ocean Drive Unit 401 '
I Company: Bradford Electric Inc
city: Jensen Beach State:FL 1251 Jupiter Park Dr.Suite 7 '
Address: PI f
Zip Code: 34957 Fax: City. Jupiter _ -- State:FL
Phone No. Zip Code: 33456 Fax: 561-747-0677
E-Mail: I
Phone No. 561-747-0722 f
Fill in fee simple Title Holder on next page{if different i E-Mail: tjp@bradfordelectric.net
from the Owner listed above iEC 13003147
State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is --
From: 10/12/2017 11:04 #016 P_003/003
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: �Not Applicable
Name Pelmas Kehanaa Name:„—J Pahl
Address:10680 S.0003.Drive Ud1401 Jansen Beach FL 91957 Address: I—S.Ocean D&e UM 401
City Jenaen&mmh State: City: Jvpem —State:
Zip: Phone Zip: Phone:
FEE 51WPLE YITLE HOLDER: _Not Applicable BONDING C011ftPANY: Not Applicable
Name: Name: I
Address:1251 Jupiter Park Dr.Suite 7 Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 apermit will authorize the permit holder to build the subject structure
which is In conflict with any i applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult w th 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 pians,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 your Notice of Commencement. -
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Signature of owne-F7 lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
j STATE OF FLOF4DA I STATE OF FLOBWA Q_
i COUNTY OF Kao k>,- I COUNTY OF
I � i
The f Poing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me j
this�"flay of QC2f 20� by this,�day of t?�-�t a C 201 by j
I
ihwnas Phi
Name of per n Ing statement Name of person making statement
Personally Known OR Produced Identification Personally Known-'�J—OR Produced Identification i
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida I (Signature of Notary Public-State of Florida)
i I
j CommissionME!
t%Mflaa Com s I ( al)
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FF 102157 r Thea D Puliatti
' .tg....__ My CommMefal FF 102167
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REVIEWS FRONT ZONING ' SUPERVISOR ; PLAN V E TON I SEA TURTLE I MANGROVE
I COUNTER REVIEW I REVIEW REVIEW REVIEW REVIEW REVIEW
DATE '
RECEIVED_ I _---
DATE -__-_-I.._--_._.._. .----- ------- -----------•-•----t------_--- , ---�
COMPLETED t ------- __-_ ____— _ _.__._—._____-
Rev.8/2/17