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HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1/31/2020 Permit Number: COUNT F L - 0 4a,., i r. Planning and Development Services Building and Code Regulation division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application Commercial Residential X PERMIT TYPE: SERVICE CHANGE - ELECTRICAL PROPOSED IMPROVEMENT" LOCATION: Address: ]Jb2t SUU I H INDIAN RIVER DRIVE LOT 53 Property Tax ID #: 4509-805-0053-000-1 Site Plan Name. LINHART Project Name: LINHART DETAILED DESCRIPTION OF WORK: Lot No. 53 Block No. SERVICE CHANGE - REPLACING 100 AMP FEDERAL PACIFIC PANEL WITH A 150 AMP SQUARD D PANEL, ALSO ADDING 2 DEDICATED CIRCUITS, ONE IS 40 AMP FOR HEAT PUMP DISCONNECT AND ONE IS 60 AMP FOR COOK TOP RANGE, JOB WILL BE SCHEDULED WITH FPL CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank —Gas Piping Shutters _ Windows/Doors is Electric _ Plumbing —Sprinklers _ Generator Roof _ Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name RICHARD LINHART Name: JOHN PANKRAZ Address: 13827 S INDIAN RIVER DRIVE LOT 53 Company: ELITE ELECTRIC AND AIR City: JENSEN BEACH State: Address: 1691 SW SOUTH MACEDO BLVD Zip Code: 34957 Fax- City: PORT ST LUCIE State: FL Phone No. 216-650-3595 Zip Code: 34984 Fax: 772-340-3702 E-Mail: Phone No 772-340-3797 Fill in fee dimple Title Molder on next page ( if different E-Mail PERMIT@ELITEELECTRICANDAIR.COM from the Owner listed above) State or County License EC13006036 - -----.__. .- ----- ,. ..,,,,1, a niivnvGv JIuuce vi l vrnmencemenr Is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: i OWNER/ CONTRACTOR AFFI©VIT: Application is hereby made to obtain a to do the installation permit work and 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 that covenants 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" gessee/Contractor Signature of Owner as Agent for Owner Signature of Contractor ense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF sr LUCIE COUNTY OF sr Lucie The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 31 day of TAr-Jd+1t'1 20 7-0 by this 3i day of 'Ti+rJJA-11 `r 20 U b JOHN PANKRAZ JOHN PANKRAZ Name of person making statement. Name of person making statement. Personally Known k _OR Produced Identification _ Personally Known ) OR Produced Identification Type of Identification Type of Identification Produced Produced ,_ �Y „� •., KOWO LENAE DEWI?T �, , ��, ��� Notary Public - Stale of Florida C Commission if GG 1%915 III',il" ���_ hily Cornet Expires Dec 10, 2021 {Signature of Notary Pjazz (Signature of Notary Public- o ya y Commission No. GGIIoIP sirs (Seal) commission No. GGt Io49r5 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.211119