HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4{29119
Permit Number:
i
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential X
PERMIT TYPE: ELECTRICAL - SERVICE CHANGE
PROPOSED IMPROVEMENT LOCATION:
Address: 366 S NARANJA AVE
Property Tax ID #: 3419-530-0026-000-1
Site Plan Name: DAILEY
Project Name: BAILEY
DETAILED DESCRIPTION OF WORK:
REPLACE 200 AMP PANEL, LIKE FOR LIKE AND UPDATE THE GROUNDING SYSTEM
WILL BE SCHEDULED WITH FPL
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanical ^ Gas Tank _ Gas Piping _ Shutters
,7C Electric _ Plumbing i Sprinklers _ Generator
Total Sq. Ft of Construction:
5q. Ft. of First Floor: _
Cost of Construction: $ 1972.74 Utilities: Sewer i Septic
OWNERAESSEE
NameJENNY BAILEY
Address: 366 S NARANJA AVE
City: PORT ST LUCIE
State:
Zip Code: 34983 Fax:
Phone No. 321-747-8821
E -Mail:
Fill in fee simple Title Halder on next page ( if different
from the Owner listed above)
Lot No. 26
Block No, 32
Windows/Doors
Roof Pitch
Building Height:
CONTRACTOR:
Name:JOHN PANKRAZ
Company: ELITE ELECTRIC AND AIR
Address: 1691 SW SOUTH AMCEDO BLVD
City: PORT ST LUCIE FL
State:_
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.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY:
Name: Not Applicable
Address: Name:
City:Address:
Zip: RhState: Citone Zip: Phone: state:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
Name: Not Applicable
Address: 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO ORTAnu I a Alu rwir•
WITH vni ip ! punro nr. ... _ _—
�"�•� �++t �+�■ w uKNltT 13EFORE RECORDING YOUR NOTICE OF COMMENCEMENT."�•■�' wMaurtri
Signature of Owner ssee/Contractor as Agent for Owner Signature of Contra
/License Haider
STATE OF FLORIDA
COUNTY QFsTSTATE OF FLORIDA
wae COUNTY OFSTLucE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2VI day of qr1![C_ 201ci by this 2`I day of APif.i4 20 €by
JOHN PANKRA.Z
JOHN PANKRAZ
Name of person making statement.
Name of person making statement"
Personally Known. X _ OR Produced Identification Personal) Known
Type of Identification y OR Produced Identification
Produced Type of Identification
'Yrt LENAEDEWITi Produced
,;
Notary Public- Siato of Florida
r«�* - Commission # GG 166915 s wv s ;A.,. KONNI t ENaDEWITT"MyComm. Expires i3ac 10, 2021 _ r" „` Notary Public -anh ionai Notary Assn. n� v Commission(Signature pf Notary b ""' '" M Comm. Ex 21(Signature of Notary P IIC='F to `ofBPiI&I" Nsn.
Commission No. (Seal) c.
Commission No. cif l+�f� s l u (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS nVEGETATIONSEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW
DATE REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Rev.