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HomeMy WebLinkAbout permit app ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: February 19,2018 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 Residential X PERMIT APPLICATION FOR: Electrical PROPOSED IMPROVEMENT LOCATION: Address: 5712 PALED PINES CIRCLE Legal Description: HOLIDAY PINES SID-PHASE I-LOT 27(MAP 13/12S)(OR 2922-2232) Property Tax I D#: 1312-500-0028-000-8 Lot No.27 Site Plan Name: STENCE Block No. Project Name: STENCE Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: EMERGENCY PANEL CHANCE, INSTALL A NEW 200 AMP MAIN PANEL 40 SPACES, UPGRADE THE GROUNDING SYSTEM CONSTRUCTION INFORMATION: Additional work to 6e e orme un er t rs permit—c ec a app y: ❑HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors L�Electric ❑ Plumbing Sprinklers Q Generator 0 Roof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction:$ 2104.83 Utilities: Sewer❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameRICHARD STENCE Name: JOHN A.PANKRAZ Address:5712 PALEO PINES CIRCLE Company- ELITE ELECTRIC AND AfR p Y� City: FORT PIERCE State:FL Address: 1691 SW SOUTH MACEDO BLVD Zip Code: 34951 Fax: City: PORT ST LUCIE State-.FL Phone No.772-359-2495 Zip Code: 34984 Fax: E-Mail:RIC HARDSTENCE@ATT.NET 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 I#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:RICHARD STENCE N a me:JOHN A.PANKRAZ Address:5712 PALEO PINES CIRCLE Address- 5712 PALEO PINES CIRCLE City: FORTPIERCE State: City: PORTSTLUCIE State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address:1691 SW SOUTH MACEDO 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 post d on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an at rney before commencing work or recor6g your Notice of Commencement. Signature of Own ssee/Contractor as Agent for Owner Signature of Contractor/ ense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S'r" C'L)ti COUNTY OF T1— The for D �ing instrument was acknowledged before me The forp.oing instrument was acknowledged before me this__- 1 day of Frr UI�9L1d J 2t7( by this i i day of h U,}r2 n 26 4 by — I-G i•+0 c,-, f'. �1 c era y _ `56�A-,j A,, Name of per making statement Name of person making statement Personally Known OR Produced Identification Personally Known >C OR Produced Identification Type of ldentificatio Type of Identification Produced Produced t-7,N� {Signature of Notary Public7t� loridat6NNl i_ENAE DEWITT (Signature of Notary Pu tic-St Notary Public—Slate of Florida •P;; J;` K©NNI LENAE DEWITT Commission No. 'C,1 1!j {3l�iasior #GG166915 Commission No. �ii� +* �� $ #yPublic-StateotFiori a My Comm.Expires Dec 10,2021 •; ' _ Commission#GG 166915 „ Bonded through National Notary Assn, 4'� My Comm.Expires Dec 10,2 21 Borxied through Naliorral Nolary As n. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev,8/2/17