HomeMy WebLinkAboutBuilding Permit ApplcationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: ELECTRICAL
PROPOSED IMPROVEMENT -LOCATION:
Address: 4909 SILVER OAK DRIVE
Property Tax ID #: 3402-606-0204-000-3
Site Plan Name: KROTT
Project Name: KROTT
DETAILED DESCRIPTION OF WORK:
Permit Number:
Building Permit Application
Commercial Residential x
Lot No. 49&50
Block No. 26
REPLACING 100 AMP SUB PANEL, LIKE FOR LIKE, AND UPDATING THE MAIN GROUNDING SYSTEM. DOES NOT
REQUIRE FPL TO BE SCHEDULED
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply.
_Mechanical _ Gas Tank _ Gas Piping Shutters
XElectric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 2219.49 Utilities: —Sewer —Septic
OWN ER/LESSEE: -
CON
Name LAURA KROTT
NamE
Address: 4909 SILVER OAK DRIVE
ComF
City: FORT PIERCE State:
AddrE
Zip Code: 34982 Fax:
City:
Phone No. 772-233-3603
_
Zip Cc
E -Mail:
Phon(
Fill in fee simple Title Holder on next page ( if different
E -Mai
from the Owner listed above)
State
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
de: 34984 Fax: 772-340-3702
No 772-340-3797
PERM ITaiELITEELECTRICANDAIR.COM
)r County License EC13006036
If value of construction is $2500 or more, a UrnoDED Notice of Commencement i5 required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: }C Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
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 OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of fl r essee/Contractor as Agent for Owner
tS^IT�ATE OF FL IDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this 11 day of dA -M -t 2020 by
JOHN PANKRAZ
Ivame of person making statement.
Personally Known X
Type of Identification
Produced 1W
(Signature of Nota
CR Produced Identification
—KtftNi ,.ENAE DEWITT
Notary Pub€ic—State of Florida
Commission # GG 166915
Vy Comm. Expires Dec 10, 2021
Commission No. GGt (c L01( ] (Seal)
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Signature of Contractor/LiVseH-older
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this 21 day of_ h ,20 20 by
JOHN PANKRAZ
Name of person making statement.
Personally Known %C OR Produced identification
Type of Identification
Produced
+`K:YIrf , KONNI LENAE DEWITT
■ `� Notary Public —State of Florida
far '. . , Commission i GG 156915
Signature of Notary 1 dal on*1 N0 t,1ry a,,R.
Commission No. Cc 1(9 rS (Seal)
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW