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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11129!18 Permit Number: Budding Permit Application Planning and Development Services Building and Cade 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: 23 VISTA DE LAGUNA Legal Description: Commercial Residential X Property Tax ID #: 3414-501-1701-000-9 Site Plan Name: CLAIRE Project Name: CLAIRE Setbacks Front Back: Right Side; Left Side: DETAILED DESCRIPTION OF WORK: REPLACE PANEL LIKE FOR LIKE, 150 AMP PANEL Lot No. Block No. CONSTRUCTION INFORMATION: it�ona wor< to e er orme un er t perm is it — c ec a app y: HVAC Gas Tank 0Gas Piping Shutters Windows/Doors Q { Electric Plumbing Sprinklers 1-1 Generator E]Roof RoofP itch Total Sq. Ft of Construction: Cost of Construction: $ 1851.99 S Ft. of First Floor: Utilities:LJ Sewer Septic Building Height: ht: ©WNER/LESSEE: Name KEN CLAIRE/WYNNE BUILDING Address:23 VISTA DE LAGUNA City: FORT PIERCE State: FL Zip Code: 34951 Fax: z Phone No 315-408-3401 E-Mail:TOBYGER111 cxYAHOO.CQM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: JOHN PANKRAZ Company: ELITE ELECTRIC 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@ELITEELECTRICANDAIR.COM State or County License: EC13006036 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. A LA,VN-'5I KUL1 ON LIEN LAW INFC3RMATION: DESIGNER/ENGINEER: � Not Applicable Name: MORTGAGE COMPANY: Not Applicable Address: Name: City: Address: State: City: State: Zip: Phone Zip: ___ Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Name: �` Not Applicable Address: -1-6 swsourH PAA,CEDo 13LVD Name: City: Address: Zip: Phone: City: 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 posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recordin our Notice of Commencement. Signature of Own ssee/Contractor as Agent for [owner STATE OF FLORIDA COUNTY OF—CFE The forgoing instrument was acknowledged before me this 2­1� day of nl l;.'r� ;'2._ 20"`` by ,JOHN PANKRAZ Name of person making statement Personally Known )-/ OR Produced Identification Type of Identification Produced KOW LENAE DEWITT Notary Public — Stats of Florida Commission # GG 166915 MV Comm. Exp}fres Dec 10, 2021 (Signature of Commission No. CC +�(�`: _ (Seal) REVIEWS FRONT ZONING SUPERVISOR DATE COUNTER REVIEW REVIEW RECEIVED DATE COMPLETED Rev. 8/2/17 Signature of contractLicense Holder STATE OF FLORIDA COUNTY OFsTLcurE The forgoing instrument was acknowledged before me this 2=1 day of 20 tY by JOHN PANKRAZ Name of person making statement Personally Known --,K OR Produced Identification Type of identification Produced (Signature of Notary Commission No. ([i PLANS VEGETATION REVIEW REVIEW 'r'r{�;'•., KONNI LENAE DEWITT Notary Public— State of Florida Y fA6 9xpires Dec 10, 2021 "."'V""' 6nnded through Nalional Nolmy i.,;.. ealj _. SEA TURTLE MANGROVE REVIEW REVIEW