HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO` LIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/6/18 Permit Number:
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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
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PR`OPOSED}IIVIPROVEMENT LOCATION
Address: 6716 MAR PACIFICO
Legal Description: N/A
Property Tax ID#: WA-HIDDEN PROPERTY OOD I 0 0 V Lot No.
Site Plan Name: HUDEC Block No.
Project Name: HUDEC
Setbacks Front Back: Right Side: Left Side:
7e oDETAILED=DESCRIPTION OF WRK� < '
i t tlF
IX
REPLACING 200 AMP PANEL LIKE FOR LIKE, ADDING SURGE PROTECTION
T!M!
IVIA�TION•` � '`� Jf �, ��tme un ert is perc a appy Tank ❑Gas _M Shutters Windows/Doors
bing Sprinklers I Generator Roof Roof pitch
Total Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 2436.43 U.tilities:11Sewer Septic Building Height:
dWN'ERLESSEE r N CTOft
r;: .. i
Nam'eSTEVE HUDEC
Name. JOHN'PANKRAZ
Address:671'6 MAR,PACIFICO Company: ELITE ELECTRIC'AND AI.R
City: FORT PIERCE State:FL Address: 1691 SW SOUTH MACEDO BLVD
Zip Code: 34951 Fax: City: PORT ST LUCIEFL
772-340-3797 State:
Phone No. Zip Code: 34984 Fax:
E-Mail:PERMIT@ELITE ELECTRICANDAIR.COM 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: CAC1 i''
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SII RP EMENTALf+CaNSTf 'I GTION bIEN LAWAiNFO`RMATIOhI °ter°
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:m1 HUDEC Name:JOHN PANKRAZ
Address:6716 MAR I-ACIFICO Address: 6716 MAR PACIFICO
City: FORTPIERCE State: City: PORT STLUCIE State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: T Not Applicable BONDING COMPANY: ^Not Applicable
Name: Name:
Address:169,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 represent tion that isgrantinga permitwill authorize'the permit holder to-build the subject structure
which is is 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 ihspection. If you intend to obtain financing,consult with lender or an attorney before
commencingwork or recordin our Notice of Commencement.
Signature of Owner ssee/Contractor as Agent for Owner Signature of Contractor a Ase Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S-”L is (15 COUNTY OF 5� L,(Jc f
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this (v day of A'o6 est 20 1� by this fv day of AWG rl64— 201& by
Name of person making statement Name of person making statement
Personally.Known��OR Produced identification Personaliy'Known_ , x OR Produced Identification
Type of Identification Type of Identification.
Produced Produced
.Y KONNI LENAE DEwtT7 KONNt LE DEWrFr
Notary.Pubitc-state of Florida: n. p*.e�Y ra.
•`• COmmtsSton#GG 166915 c Notary PubtiC-State of Florida
hi Comm.Brim Der 10,2021Commission#'GG 166915
c10 2021
(Signature of Notary Publi Staof Fl OUsh a°°a (Signature of Notary Publ' -St�gE`f Flaaau;ro ,raat;°nattaot�nAs .
Commission No. 6GliF'0911 (Seal) Commission No, (960P r(C (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17