HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 12/3/2019
Planning and Developmen t Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Electric
PROPOSED IMPROVEMf"NT LOCATION:
Address: 421 Poplar Ave
Property Tax ID #: 3419-510-0140-000-4
Site Plan Name: Pagan
Project Name: Pagan
Permit Number:
Building Permit Application
Commercial Residential X
DETAILED DESCRIPTION OF WORK: -
Complete 150 amp overhead service replacment including main grounding update, updating the riser,
and updating the meter main combo.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical ` Gas Tank ` Gas Piping Shutters
'�- Electric —Plumbing —Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2470.63
Generator
Sq. Ft. of First Floor:
Utilities: — Sewer — Septic
OWNER/LESSEE:
CON
NameGervasio Pagan
NamE
ME
Address:421 Poplar Ave
Ca
COMF
City: Port Saint Lucie
State.
AddrE
Zip Code: 34952 Fax:
City: I
Phone No.561-502-4437
_
Zip Cc
E-Mail:
PhonE
Fill in fee simple Title Holder on next page { if different
E-Mai
from the Owner listed above)
State
Lot No.22
Block No. 14
— Windows/Doors
Roof Pitch
Building Height:
TRACTOR: —
:John Pankraz
any: Elite Electric and Air
ss:1691 SW S Macedo Blvd
'ort Saint Lucie I —
State: FL
d34984 Fax: 772-340-3702
Na 772-340-3797
permit@;liteelectricnandair.com
)r County LicenseEC13006036
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 INFORM
ATInEv
�l
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: — phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
—%-1 UR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that ne 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 contiict 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 yell INTEND TO OBTAIN FlNANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YDUR NOTICE O MMENCEMEN N --
v- Not ..�.� �.• au1C
Name:
Address:
City:
Zip: Phone State:
Name:SIMPLE TITLE HOLDER: IVot Applicable
Na
Address:
City:
ZIP: Phone:
OWNER/ CONT
Signature o r/ S Lessee/Contractor as A ent for Owner g Signature of
STATE OF FLORIDA
COUNTY OF Sr" Ltl Ci r
The forgoing Instrument was acknowledged before me
this ? day of 20 by
:56, I }'J Iu , L r`L .r} 2—
Name of person making statement.
Personally Known X OR Produced identification
Type of Identification
—KKUWLENAE DEWITT
Notary Public — Slate of Florida
Commissian # GG 186915
MY Comm, Expires Dec 10, 2021
re of Notary
Commission No. ^ ,i (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
RECE-.— EWED
BATE
COMPLETED
Holder
STATE OF FLORIDA
COUNTY OF S f
The forgoing instrument was acknowledged before me
this 3 day off n"�7Z
20 a by
Name of person making statement.
Personally Known X OR Produced identification
Type of Identification
Produced
r I LENAE DEWITT
Notary Public —State of Florida
Commission # GG 165915
`My Comm. Expires Dec 10, 2021
(Signature of Notary Pu
Commission No. C i IG ci t,S (Seal)
PERVIS
I PLANS
S REVIEWOR REVIEW V REVIEW
ON SEREV EWLE I MRE V EWVE
ELEC r gg-AL RISER PLAN
NOTTO SCALE
O Underground-
O Overhead
U/EffteElectricAn
' { 4
J 772.340.3797 191 5VJ S• M,acedo Blvd_
Port St. Lucie, FL 34984
Size Service
l �-O ApAe 2. CondUCtOr Size
a. Meter Main
b. Meter Can Only: ❑
M
Grounding Electrode Conductor Size
❑ ##6
® #4
❑ #2
❑ Other
CONSTRUCTION TYPE:
Residental
i QjfVG�� L-0 fa. j0.vf
SoLiA+ t✓ Q 3 i4) 2
❑ Mobife dome
7 New Installation
❑ Old Installation