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Home My WebLink AboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/5118 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 PERMIT APPLICATION FOR: ,Electrical PROPOSED IMPROVEMENT LOCATION: Address: 5811 PALM DRIVE Commercial Residential X Legal Description: INDIAN RIVER ESTATES - UNIT 08 - BLK 61 LOTS 37 AND 38 (MAP 34/11S) (OR 3757-1204 Property Tax I D #: 3402-609-0355-000-5 Lot No. 8 38 Site Plan Name: REVELS Project Name: REVELS Block No. 61 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: RUNNING A NEW DEDICATED CIRCUIT IN PIPE OUTSIDE OF METER MAIN COMBO FOR HOT TUB, INSTALLING A PREMIUM SURGE PROTECTOR CONSTRUCTION INFORMATION: A �t�onaI work to be e Orme un e5tisermit—c e�aapp HVAC _Gas Tank as Piping_ L'J Electric I _I Plumbing Sprinklers []Generator Total Sq. Ft of Construction: Cost of Construction: $ 1956.74 S Ft. of First Floor: _ Utilities:Sewer l:]Septic OWNER/LESSEE: Name JEFFREY SHANE REVELS Address:5811 PALM DRIVE City: FORT PIERCE FL State: Zip Cade: 34982 Fax: Phone No. 772-579-7501 E -Mail: SHANEREVELS54@GMAIL.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Windows/Doors Roof = Roof pitch Building Height: CONTRACTOR: Name: JOHN A PANKRAZ Company: ELITE ELECTRIC AND AIR Address: 1691 SW SOUTH MACEDO BLVD City: PORT ST LUCIE State: FL Zip Code: 34984 Fax: Phone No. 772-340-3797 E -Mail: PERM IT@ELITEELLCTRICAND AIR.COM State or County License: EC13006036 If value of construction is $250Q or more, a RECpRDEp Notice of Commencement is required. GC1ClNTY F �`'' L Ca R 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 PERMIT APPLICATION FOR: ,Electrical PROPOSED IMPROVEMENT LOCATION: Address: 5811 PALM DRIVE Commercial Residential X Legal Description: INDIAN RIVER ESTATES - UNIT 08 - BLK 61 LOTS 37 AND 38 (MAP 34/11S) (OR 3757-1204 Property Tax I D #: 3402-609-0355-000-5 Lot No. 8 38 Site Plan Name: REVELS Project Name: REVELS Block No. 61 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: RUNNING A NEW DEDICATED CIRCUIT IN PIPE OUTSIDE OF METER MAIN COMBO FOR HOT TUB, INSTALLING A PREMIUM SURGE PROTECTOR CONSTRUCTION INFORMATION: A �t�onaI work to be e Orme un e5tisermit—c e�aapp HVAC _Gas Tank as Piping_ L'J Electric I _I Plumbing Sprinklers []Generator Total Sq. Ft of Construction: Cost of Construction: $ 1956.74 S Ft. of First Floor: _ Utilities:Sewer l:]Septic OWNER/LESSEE: Name JEFFREY SHANE REVELS Address:5811 PALM DRIVE City: FORT PIERCE FL State: Zip Cade: 34982 Fax: Phone No. 772-579-7501 E -Mail: SHANEREVELS54@GMAIL.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Windows/Doors Roof = Roof pitch Building Height: CONTRACTOR: Name: JOHN A PANKRAZ Company: ELITE ELECTRIC AND AIR Address: 1691 SW SOUTH MACEDO BLVD City: PORT ST LUCIE State: FL Zip Code: 34984 Fax: Phone No. 772-340-3797 E -Mail: PERM IT@ELITEELLCTRICAND AIR.COM State or County License: EC13006036 If value of construction is $250Q or more, a RECpRDEp Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER---- Not App lica hia Name: JEFFREY SHANE REVELS Address: 5811 PALM DRIVE City: FORT PIERCE Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Add re SS: 1691 SW SOUTH MAG -EDC BLVD City: Zip: Phone: State: Not Applicable MORTGAGE COMPANY: Not Applicable Na,.Ime: JOHNA PANKRAZ Address: 5811 PALM DRIVE t-Ity: PORTSTLUCIEtate: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip Phone: Not Applicable 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 or an a orney before commencing work or recording your Notice of Commencement. / Signature of Owner/ Le a/Contractor as Agent for Owner Signature of Contractor rise Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF S LSI f t The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this dayof_ APOLiL_ 20 fV� by this —,5- day of 400RiL, 2(l Igby Name of person making statement Personally Known ig OR Produced Identification Type of Identification Produced KONNI LENAE DEVWTT Notary Public— State of Florida Commission # GG 166915 -=•� '°°' M Comm. Expires Dec 10, 2021 (Signature of Notary P lic'° a e of9pT2fF+i'$ h NalicnaE NoturyAssn. Commission No. Gs 17 ( (Seal) REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Name of person making statement Personally Known ___A__ OR Produced Identification Type of Identification Produced A.{ �.'4 jY Pt,A •,,. KONM LENAE DEV, = =4 « Notary Public - Slate v ----- • . h t _ Cornmission # GG My Comm. Expires D (Signature of Notary Public- S r ru roug alo Commission No. 661A 0,4 1 (Seal) PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW