HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/04/2019 Permit Number:
a
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 Residential X
PERMIT TYPE: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 112 Nettles Blvd
Property Tax ID #: 4502-501-0298-000-6
Site Plan Name: Gantenbein
Project Name: Gantenbein
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK;
Replace 150 AMP panel like for like including updating the meter main combo and main grounding, as well as
installing a 100 AMP sub panel.
_CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
V Electric ____ Plumbing Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2432 Utilities: —Sewer —Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE.:
CONTRACTOR:
Name Susan Gantenbein
Name:John Pankraz
Address:112 Nettles Blvd
Company: Elite Electric and Air
City: Jensen Beach State: VI-
Zip Code: 34957 Fax:
Phone No.608-780-4925
Address:1691 SW S Macedo Blvd
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No772-340-3797
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permit@eliteelectricandair.com
State or County LicenseEC13006036
IT vawe or consiruction is 4iLWU or more, a RELURDED Notice of Commencement is required.
If value of FIVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL. CONSTRUCTION LIEN LAW INFORMATInN.
DESIGNER/ENGINEER: •- Not Applicable
Name:
Address:
City: State:
Zip: �' Phone
FEE SIMPLE TITLE HOLDER: _;t= Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Q<Not Applicable
Name:
Address:
City: State:
zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: - Phone:
Not Applicable
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.
which is in #lict with any applicable (Home that is
Asssociationl ruliesabylaws or and covenants that mays eestrictborr 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-res[dential 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 icnmmviurcwr.nr "
Signature o r/ Lessee/Contractor as Agent for Owner ! Signature of
STATE OF FLORIDA
COUNTY OF Sr L V Ci F
The forgoing instrument was acknowledged before me
this 4 day of %�M�" ctT� 20-h by
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced n _.
• �. `_ IV1iaryPublie—Stateo1Flo0,da
Commis8
ion4GG166915
':.;,My Comm. Expires Dec 10, 2021
(Signature of Notary
Commission No. ,l G -915 (Seal)
REVIEWS J FRONT ZONING SUPERVISOR
__ COUNTER REVIEW REVIEW
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF Sr
Holder
The forgoing instrument was acknowledged before me
this `+"' day of DeLi_/v, 1iQ- 20 1 l by
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
ILFNAE DEWITT
3Nofary PuNc—State of Rodda
_ Commission # GG %5915
`. fir dt My COMM. Expires DEC 10, 2021
(Signature of Notary Pu
Commission No. cc. i [, f, rr rg (Seal)
PLANS I VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW
M
ELECTRICAL RISER PLAN
NOT TO SCALE <--7'
Underground
O Overhead
�LCTRIC A AIR
ECI
%�� • �4fl • 3 ��% 1691 5W S. Macedp Blvd.
Port 5t. Lucie, FL 34984
z
1. Size Service
46D2. Conductor Size
3. a. Meter Mai
b_ Meter Can Only: [�
Grounding Electrode Conductor Size
#6
Other
CONSTRUCTION TYPE:
Residentai
Mobile Home
New Installation
Old installation