HomeMy WebLinkAboutPermit App Signed 2ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/02/2020
Permit Number:
•
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 YES
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 8426 BELFRY PLACE PORT ST LUCIE, FL 34986
Legal Description: POD 28 AT THE RESERVE LOT 18 (OR 3878-521
Property Tax ID #: 3327-701-0021-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
INSTALL 50 AMP CIRCUIT FOR POOL HEATER
CONSTRUCTION INFORMATION:
Additional work to b
j[ rtormed under this permit —check all apply:
1]HVAC LJ Gas Tank Gas Piping Shutters a Windows/Doors
ZElectric Plumbing Sprinklers Generator 1:1 Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 1237,11 Utilities:] Sewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name FREDERICK STROH
Name: George G Sanchez Jr
Address: 8426 BELFRY PL
Company: Excel Electric LLC
City. PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. �X3) - 3Jq - &ea9
Address: 1391 SW Bellevue Ave
City: Port St Lucie State: FL
Zip Code. 34953 Fax:
Phone No. 561-408-0722 Qualifier 561-513-1477
E-Mail: 35 Ygh JD (�) i )C i t ufy-1
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: george@excelelectricsouthflorida.com
State or County License: EC13006483
If value of construction is $2500 or more, a RECORDED Notice of commencement is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: T Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 jobsite
before the first inspection. f you intend to obtain financing, consult with lender or an attorney before
commencing work or reedine vaur Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OFSTLUCIE
The forgoing instrument was acknowledged before me
this E�Aday of AO I 20 a0 by
GEORGE G SAN6HEZ JR
(Name of person acknowledging )
ignature otary Public- State of Flo ' )
"el
Personally Known x OVsPduc "O[g�pa t oo'�Fior
Type of Identification Produi e Ashley SimEaman
My Commission GG W316
Commission No. GG946316, "00 _ Explrgea(116512024
Revised 07/15/2014
Si nature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this i 06day of YY i 20 a( by
GEORGE G SANCHEZ JR
(Name of erson acknowledging)
(Signature of NWary Public- State of Florida
Personally Known x OR Produced identification
Type of Identification Produced
Commission No. GG946316 e+a Notar 906l� State of Florida
%�rrn Ashley Simlamany
.1_- av My Commission GG 946316
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