HomeMy WebLinkAboutPermit App SignedALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 418/20 Permit Number:
r
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: 434 SE Tranquilla Ave
Legal Description: RIVER PARK- UNIT 4 BLK 34 BEG ON SLY LI LOT 3 64 50 FT ELY CF MOST ELY COR LOT 4, TH CONT ELY ON SLY LI LOTS 2 AND 3 98 22 FT, THIN 3613EG 47 MIN 22 SEC W 140
FT, TH RUN SWLY ON NWLY LI LOTS 2AND 3 103 FT, TH S 38 DEG 44 MIN 42SEC E 140 FT TO POB BEING PART OF LOTS 2 AND 3 BEING TRACT H (MAP34128N)
Property Tax ID #: 3419-530-0079-000-7
Site Plan Name:
Project Name: _
Setbacks Front
Back: Right Side: Left Side:
Lot No.2 AND 3
Block No.
DETAILED DESCRIPTION OF WORK: I
Replace existing 200amp main breaker panel with new 200amp main breaker panel
CONSTRUCTION INFORMATION:
Additional work to be pertormedunder this permit — check all apply:
E1HVAC LI Gas Tank Gas Piping Shutters a Windows/Doors
✓❑ Electric ❑ Plumbing Sprinklers Generator 0 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 1,752.75
5 Ft. of First Floor: _
Utilities: Sewer [I Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jisel Leon
Name: George G Sanchez Jr
Address. 434 SE Tranquilla Ave
Company: Excel Electric LLC
City. Port Saint Lucie State: FL
Zip Code: 34983 Fax:
Phone No.
Address: 1391 SW Bellevue Ave
City: Port St Lucie State: FL
Zip Code: 34953 Fax:
Phone No. 772-529-1091 Qualifier 561-513-1477
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Bookkeeping@excelelectricsouthflorida.com
State or County License: EC13006483
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is requlreo.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ 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. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordins3 vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF St Lucie
The r oing instru ent was acknowledged before me
this Today of 1' 20, ri by
George G sancher Jr
(Name of person7ackno edging)
is
{ ignatu a of N tary Pu to- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
thi -? day of ►- f 20 JL by
George G Sanchez Jr
{Na777�7
)
(SigKatuM of o ary Pu lic-State rida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No.A is__94_ _ — _ _ _ I Commission No.�,—(,, 94(-a. ) [(--) _ (Seal
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Notary Public State of Florida +lRr Notary Public State of
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Revised 07/15/2014 a� f Expires zr s 024 948316 ��R � My �e o2ris�iaza a
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