HomeMy WebLinkAboutBuilding Permit Application with attachALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/20/18
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: 5307 MYRTLE DRIVE
Commercial Residential X
Legal Description: INDIAN RIVER ESTATES - UNIT 07 - BLK 48 LOT 43 (MAP 34/02S) (OR 3865-11)
Property Tax I D #: 3402-608-0299-000-1 Lot No.43
Site Plan Name: LALONDE Block No. 48
Project Name: LALONDE
Setbacks Front Back: Right Side: _. Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE 200 AMP PANEL LIKE FOR LIKE, PORTABLE GENERATOR HOOK UP AND MAIN
GROUNDING SYSTEM
CONSTRUCTION INFORMATION:
Additional worK to be erforme un ert ispermit—c ec a
HVAC Gas Tank ❑Gas Piping
9Electric Q Plumbing OSprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2449.61
O NERAESSEE:
NameMICHAEL LALONDE
apply:
Shutters a Windows/Doors
Generator 0 Roof Roof pitch
5 Ft. of First Floor: _
Utilities: 0Septic
Address: 5307 MYRTLE DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No, 518-478-3850
E -Mail: MICHELLELALONDEACCESSORIES4@GMAIL_COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: JOHN PANKRAZ
Building Height:
Company: ELITE ELCTRIC AND AIR
Address: 1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No. 772-340-3797
E -Mail: PERMIT a@ELITEELECTRICANDAIR.COM
State or County License: EC 13006036
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION.,LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable pp
MORTGAGE COMPANY: Not Applicable
Na me: MICHAEL LALONDE
Name: JOHN PANKRAZ
Address: 5307 MYRTLE DRIVE
Address: 5307 MYRTLE DRIVE
City: FORT PIERCE State:
City; PORT STLUCIE 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:
OWNFR/ r•nFJTRArTnD ACCInLIIt.
-- - • •-- •—•... ... nNtili4atiull f!� riereDy mane to orotain 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 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 a"rney before
commencing work or recordinur Notice of Commencement.
Signature of Owner/re/Contractor as Agent for Owner Signature of Contractor/ icense Holder
ST
ATE OF FLORIDA STATE OF FLORIDA
COUN 1�riVOFSTLUCIE COUNTY OF STLUCIE
The for oing instrument was acknowledged before me
this L�day of 20"�' by
JOHN PANKRAZ
Name of person making statement
Personally Known _),/_ OR Produced identification
Type of Identification
Produced
_CONNI LENAE DEWITT
Notary Public — State of Florida
Commission # GG 165915
My Comm Expires Dec 10, 2021
(Signature of Notary Pu
Commission No L(- I {� Cil S (Seal)
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
The forgoing instrument was acknowledged before me
this 1L' day of20—_(y by
JOHN PANKRAZ
Name of person making statement
Personally Known k_ OR Produced Identification
Type of Identification
Produced
tai:Y nig ..: KONNt LENAE DEWITT
Notary Public — State of Florida
n: +. Commission # GG 156915
(Signature of Notary Public ta'b4 df_or_I41I1.,9nNaJM1a1Nda,,,S,,,
Commission No. C, G i L 11 fit (Seal)
PIANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
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