HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4124119 Permit Number: G T _O(Q/ C
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COUNTY
F •L a: R i' FJ -:.TAPR 2 5 2018
:. ..:..______. .__.__....mmer Building Permit Appli :,..'
9jaPlanning and Development Services e eoyfi6 r p51-initting
Building and Cade Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X __ _
PERMITTYPE:ELECTRICAL — SERVICE CHANGE
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Address: 3807 AVENUE S
Property Tax ID#: 2405-601-0124-000-9 Lot No_1, 2, 3
Site Plan Name: ANDREWS • Block No. 7 '
Project Name: ANDREWS
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REPLACE 200 AMP PANEL, LIKE FOR LIKE,AND UPDATING THE GROUNDING SYSTEM.
JOB WILL BE SCHEDULED WITH FPL
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Additional work to be performed under this permit—check all that apply: 1
_Mechanical T Gas Tank _Gas Piping _Shutters Windows/Doors
1 Electric _Plumbing _Sprinklers _Generator Roof ,, Pitch
Total Sq. Ft of Construction: sq.Ft.of First Floor:
Cost of Construction:$ 1927.01 ._ Utilities: _Sewer Septic Building Height:
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NameJAMES ANDREWS Name:JOHN PANKRAZ I
Address:3807 AVENUE S Company:ELITE ELECTRIC AND AIR
City: FORT PIERCE State:_ Address:1691 SW SOUTH MACEDO BLVD __
Zip Code: 34947 Fax: - - City: PORT ST LUCIE ' State:FL
Phone No_772-465-1574 Zip Code: 34984 Fax: 772-340-3702 1
E-Mail: Phone No772-340-3797
Fill in fee simple Title Holder on next page(if different E-Mail PERMIT d(�iELITEELECTRICANDAIR.COM
from the Owner listed above) state or County License EC13006036
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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. -
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DESIGNER/ENGINEER: )G Not Applicable MORTGAGE COMPANY: Y Not Applicable
Name: Name:
Address: - Address: I
City: State: City: - State:
Zip; Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: % 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 thesubject structure
which is in conflisu
ct 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 FOP 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 o er/Lessee/Contractor as Agent for Owner Signature of Col actor/License Holder �
I
STATE OF FLORIDA STATE OF FLORIDA j
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 7.9 day of M MC-- ,20I g by this 1-4 day of A-P&ice _ _,20 lL by
JOHN PANKRAZ JOHN PANKRAZ 1
Name of person making statement. Name of person making statement_ j
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification Y—IP iftakilimmidftdman-aiiimemem.
Produced r•'"""' KONNILENAEDEWITT Produced 1 '''v7''•.ti KONNI LENAE DEWITT i
.,'- \;';, Notary Public-State of Florida - t , - ,: ' la rt'Public-Slate of Florida i
i, Commission#GG 166915 , °.• oi•e 4: ••• Commission#GG 166915
-. ,"I My Comm.Expires Deo 10,2021 0 `•r�• ' s`My Comm.Expires Dec 10 2021 i
f , cu"c Bonded Mut,National NaleryAsSn, .. AIa r3�'' ggixlad lhroWh Netlocial Nol8r1 Asan.
(Signature of Notary P tc- tate of Florida) (Signature of Notary Public-State of Florida)
Commission No. 66 t ip t47 IS (Seal) Commission No_ G i loiy St S (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE I
RECEIVED
DATE
COMPLETED
lev.2/7/19 -.