HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ST� �`� Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services
MAY 3 0 ?018
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 6311 Oleander Ave 34982
Legal Description:
Property Tax ID#: 3409-804-000-3 -s npp -3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing 200 amp electric service and upgrade to a 400 amp meter main combo
Install new grounding system
CONSTRUCTION INFORMATION:
Additional work toe er orme under this permit–check a appy:
HVAC E]Gas Tank F]Gas Piping In Shutters Windows/Doors
❑✓—Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ $2,397.23 Utilities:11 Sewer E]Septic Building Height:
OWNERf LESSEE: CONTRACTOR:
Name Philip M Tatarowicz Name: George G Sanchez Jr
Address:6311 Oleander Ave Company: Excel Electric LLC
City: Ft Pierce State:FL Address: 3191 SW Bellevue Ave
Zip Code: 34982 Fax: City: Port St Lucie State:FL
Phone No. Zip Code: 34953 Fax:
E-Mail: Phone No. 561-408-0722 Qualifier 561-513-1477
Fill in fee simple Title Holder on next page ( if different E-Mail: george@excelelectricsouthflorida.com
from the Owner listed above) State or County License: EC13006483
If 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: _ Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 thepermit 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 attorney before
commencing work or recording our Notice of Commencement.
�,�!_ s
_Signature of Owner/Lessee/Agent Sgnature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF 'Sa'- Loc--%Q- COUNTYOF �--
Theforgoing instrument was acknowledgedefore me The forgoing instrument was acknowledged before me
this;day of t1%v!A. 20 by this' day of VM4� 20 �E by
Ge.e c �-� Sa�.c��.Z j` G-wi 4 R S w,•e�n�?
(Name of person acknowledging) (Name of person acknowledging)'
(Signature of Notary P lic-State of Florida ) (Signature of Notary Public-State of Florida )
Personally Known ORtd"r Radetovo� N5 Personally Known ORPro; c�e�d Identification
Type of Identification Produced +,aigstoN# � Type of Identification Produced s GG oS;gecem PrY; A
Fx �Notzrypctllcunder.4 EXFIRES:Decemberl6
Commission No. oP; B�{S,ealj Commission No. tW01AG to1,dedThruNota"fy'1°e'`?111=
j
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS