HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 44849-4\4 \\1 Permit Number: \ \0 �a�o3
Cz3oNTY- ". * .
vT. RECEIVED
Building Permit Applica on
Planning and Development Services APR 4 2019
Building and Code Regulation Division ST' Lcc1e C®only, R�rmlttin
2300 Virginia Avenue,Fort Pierce FL 34982 Q
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMITTYPE:SERVICE CHANGE - ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 5990 S US HIGHWAY 1
Property Tax ID#: 3403-502-0346-0004 Lot No.259
Site Plan Name: BAWARA Block No.
Project Name: BAWARA
DETAILED DESCRIPTION.OF WORK
SERVICE CHANGE, REPLACING 150 AMP METER CAN AND RISER, LIKE FOR LIKE
UPDATING THE MAIN GROUNDING SYSTEM
CONSTRUCTION INFORMATIONF
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
X_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2243.02 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE CONTRACTOR {
NameALBERT BAWARA Name:JOHN PANKRAZ
Address:5990 S US HWY 1 Company:ELITE ELECTRIC AND AIR.
City: FORT PIERCE State:_ Address:1691 SWS OUTH MACEDO BLVD
Zip Code: 34982 Fax: City: PORT ST LUCIE State:FL
Phone No.561-201-4094 Zip Code: 34984 Fax: 772-340-3702
E-Mail: Phone No772-340-3797
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 EC13006036
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL CONSTRUCTIQN LIEN LAW INFORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: )G Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: )C Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Ow essee/Contractor as Agent for Owner Signature of Contr r/License Holder
STATE OF FL RIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OFSTLCUIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this IX day of APn1i- ,20( by this i day of �A2«- ,20�ty by
JOHN PNAKRAZ JOHN PANKRAZ
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced o Produced _: • r
( ,•lptirn KONNI LENAE DEWITT r'! , Y'';�e•, KONNI LENAE DEW':44101111Ibb'ina
_ ' = Notary Public—State of Florida :4 ;�`; Notary Public—Stale UI Flo,;.;..
; , ,p " • Commission#GG 166915 •' ••_ Commission#GG 16991',
"'•.'"'+-4 :" ' e c My Comm.Expires Dec 10.is
v Comm,Expires Dec 102021 } e
(Signature o Notary Pt`tblie4tale ofxremiriatiiiitionaiNotaryAssn. I (Signature of Notary Pu 6 ic'nth'@ °of coldr1 '2 't1Nauon "ra •+ —
Commission No. 661‘49q4-- (Seal) Commission No. GGI(PO 6 " (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ley. 2/7/19