HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/21/17 Permit Number:
- i ,r
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
23DO Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 2306 ATLANTIC BEACH BLVD
Legal Description: REV PL OF FORT PIERCE SHORES - UNIT 4 - BILK 30 LOT 14 (OR 3951-1002)
Property Tax ID #: 1436-603-0025-000-4
Site Plan Name: CASEY
Project Name: CASEY
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 14
Block No. 30
Replace 200 amp meter with a new 200 amp meter main, replace panel with a new 200 amp panel 30
space, 30 circuit, install 30 amp portable generator hook up
CONSTRUCTION INFORMATION:
Tdd —it iona war to e e Orme un t
er is permit - c ec a appy:
1_1HVAC f Gas Tank ❑Gas Piping Do _ Shutters Windows/ ors
EElectric CQ Plumbing Sprinklers E Generator Roof Roof patch
Total Sq. Ft of Construction: S. Ft. of First Floor:
Cost of Construction: $ 5400.00 Utilities:11 Sewer Septic Building Height:
OW N ERAESSEE: CONTRACTOR:
Name DARREN CASEY Name: JOHN A PANKRAZ
Address: 2306 ATLANTIC BEACH BLVD Company: ELITE ELECTRIC AND AIR
P
City: FORT PIERCE State:FL Address: 1691 SW SOUTH MACEDO BLVD
Zip Code: 34949 Fax: City: PORT ST LUCIE State: FL
Phone No.305-495-3084 Zip Code: 34984 Fax:
E -Mail: Phone No. 772-340-3797
Fill in fee simple Title Holder on next page ( if different E -Mail: PERMIT@ELITEELECTRICANDAIR.COM
from the Owner listed above) State or County License: EC13006036
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: DARRENCASEY
MORTGAGE COMPANY: Not Applicable
N a me: JOHN A PANKRAZ
Address: 2306 ATLANTIC BEACH BLVD
Address: 2366 ATLANTIC BFACH BLVD
City: FORT PIERCE State:
Zip: Phone
City: PORTSTLUCIE State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 1691 SW SOUTH MACEoo BLVD
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 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 {�r an attorney before
commencing work or �brding Your Notice of Commencement. // s, �t
Signature of Ownerdes/Contractor as Agent for Owner
STATE OF FLORIDA.
COUNTY OF ':3 T L 0 c 11=
The forgoing instrument was acknowledged before me
this 2-f dayof 20 11 by
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. COLI(rIc"ilj (Seal)
REVIEWS
BATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
KONNI LENAE DEWITT
Commission # GG 1 6915
C10NIf> s0ec1Gf9
Signature of Contra ctgf/ cense Holder
STATE OF FLORID//A
COUNTY OF i t_ �' t' r 1~
The forgoing instrument was acknowledged before me
this '21 day of fir" i r r rgr C 20 i i by
Name of person making statement
Personally Known ,X OR Produced Identification
Type of Identification
Produced
{Signature of Notary Public- State of Florida )
nr t
Commission No.0 1
PLAINS I VEGETATI
REVIEW REVIEW
ptV,•{; •., ` KUNNI LENAE DEWITT
Notary Public-- State of Florida