HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State
'9' Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
;7—Not Applicable
State:
BONDING COMPANY: V-.Not Applicable
Address:
City:_
Zip:
Pho
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 Nome 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 LENMR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_"
Signature of 0 e lessee/Contractor as Agent for Owner
Signature of Contra ease Holder
STATE OF FLORIDA
STATE OF FLORIDA
COU NTY OF c" L, I ;
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this Z� day of jUN r 201" by
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this L'�day of aUN � 20 t , bY
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Name of person making statement.
Name of person making statement.
Personally Known _ OR Produced Identification
Personally Known K OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ONNI LENAE DEW17Tr Public— State of Florida
.; KQNNI LFIVAE DEWfTTmmission
Notary
# GG 168915
m. Ex ices Dec 1 D, 2021•
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, ._ Public — Stale of Florida
; Commission # GG 166915
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(Signature of Notary Publlddh�gbN4"0101 0''i`y
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Commission No. r(.>,It lG`� (Seal)
Commission No. �€ Ils�• (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
2v.
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: to j��l %q _ Permit Number:
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 X Residential
PERMIT TYPE: Electric
PROPOSED IMPROVEMENT LOCATION:
Address: 3404 Menendez Ave
Property Tax ID #: 240870200060005 Lot N0.4
Site Plan Name: ARC of St Lucie Block No. 2
Project Name: ARC of St Lucie
DETAILED DESCRIPTION OF WORK:
install a 200 AMP transfer switch for a whole home generator_
� CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank ^ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator hoof Pitch
Total Sq. Ft of Construction:.
Cost of Construction: $ 1225
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameARC of St Lucie County Inc
Name:dohn Pankraz
Address: PO Box 1016
Company: Elite Electric and Air
City: Fort Pierce State: ti
Zip Code: 34954 Fax:
Phone No.352-871-1875
Address:1691 SW S Macedo Blvd
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone N0772-340-3797
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner Misted above)
E-Mail permit@eliteetectricandair.com
State or County LicenseEC13006036
it 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.