HomeMy WebLinkAboutBuilding permit Application (2)SUPPLEMENTAL CONSTRUCTION LIEN LAW IWOR
DESIGNERJENGIll Not Applicable MO
Name:
Address:
City:
Zip: Phon
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City.
Zip: Phone:
MATIQN:
'RTGAGE COMPANY: x Not Applicable
ne:
I ress:
State:
Phone:
JDING COMPANY: `Not Applicable
le:
'ess:
Phone:
OWNER/ CONTRACTOR AfFID1/IT: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 wfth 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 Fforida 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,"
Signature of Owner
STATE OF FLORIDA
COUNTY 0FSTrUCa
State:
Not Applicable
actor as Agent for Owner
The forgoing instrument was acknowledged before me
this 2-1-day of_ Lt Lj4/LI _ 20 10 by
JOHN PANKRAZ
Name of person making statement.
Personally Known - � _ OR Produced Identification
Type of Identification
Produced
";Y;:,;•• KONNI t.ENAE DEWITI
:Notary Public —State of Florida
b Commission # GG 166915
(Signature of Nota y`
Commission No, ' 61(,
REVIEWS
DATE
RECEIVED
DATE
CO MPLFT
FRONT
COUNTER
Nar
Adc
City
Zip:
BOP
Nary
Adds
City:
Zip:
Signature of Contracto ense Holder
STATE OF FLOR A
COUNTY OF STLUCIE
The for oing instrument was acknowledged before me
this l day of IANJ A /E-*t I 2C to by
JOHN PANKRAZ
Name of person making statement,
Personally Known X — OR Produced Identification
Type of Identification
Produced_
ND'aryPkn. P I {Signature of Notary
KONNI L,El DEWTT
R< Nolary Public —State of Florida
Commission # GG 166915
x ices Dec 10, 202'
6ter���jj�i f�aliunal NolaryA�,::,
Commission No. 66 ko b S 1S- (Seal)
SUPERVISOR
REVIEW F
PLANS
:EVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1f22120
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
PERMIT TYPE; ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 88 NETTLES BOULEVARD
Property Tax ID #: 4502-501-0274-000-2
Site Plan Dame: HOWARD
Project Name: HOWARD/LEE
Permit Number:
Building Permit Application
Commercial Residential x
DETAILED DESCRIPTION OF WORK:
INSTAKLLING A NEW 60 AMP CIRCUIT FOR A TEMPRA B TANKLESS WATER HEATER
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical _Gas Tank _Gas Piping Shutters
�_( Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 1336.02 Utilities: _ Sewer _ Septic
OWNER/LESSEE:
CON
Name BETTY SUE HOWARD
Address. 88 NETTLES BLVD
City: JENSEN BEACH
State: _
Zip Code: 34957 Fax:
Phone No. 540-327-3441
Nam(
Co
mb
Addre
City: _
Zip Cc
E-Mail:
Phon(
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mai
State
Lot N o.
Block No.
— Windows/Doors
Roof Pitch
Building Height:
TRACTOR:
JOHN PANKRAZ
any: ELITE ELECTRIC AND AIR
ss: 1691 SW SOUTH MACEDO BLVD
'ORT ST LUCIE State: FL
d e: 34984 Fax:
No 772-340-3797
PER MIT@ELITEELECTR ICANDAIR.COM
)r County License EC13006036
If value of construction is $2500 or more, a RECORDED Natica of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.