HomeMy WebLinkAboutPermit App SignedALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 05/06/2020 Permit Number:
19 0
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: 715 SOUTH JENKINS ROAD
Legal Description: HENNING SID -AN UNRECORDED PLAT IN SEC 12-35-39- LOTS 5 AND 6 AND N 15 FT OF
ST AS SHOWN ON PLAT -LESS E 10 FT- (0.89 AC) (OR 1606-1715)
Property Tax ID #: 2312-801-0006-000-5 Lot No. 5 & 6
Site Plan Name: Block No.
Project Name: JOSE ALANIS
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
6OAmp Circuit Extension
Right Side: Left Side:
jaitional work to be Dertormed under this permit — check all appy:
11 HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 882.76
Sq. Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOSE ALANIS
Name: GEORGE G SANCHEZ JR
Address: 715 SOUTH JENKINS RD
Company: EXCEL ELECTRIC LLC
City: FORT PIERCE State: FL
Zip Code: 34947 Fax:
Phone No. 772-579-8167
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: MAIL@CITRUSTRANSPORT.COM
Fill in fee simple Title Folder on next page ( if different
from the Owner listed above)
E -Mail: BOOKKEEPING@excelelectricsouthflorida.com
State or County License: EC13006483
iT value or consirucinon is azauu or more, a HKIMUED Notice of Commencement is required.
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: i
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 workpz-re4;ordingyour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLICIE
The forgoing instrument was acknowledged before me
this �+,1-1 day of f Ca, 20 3-6 by
GEORGE G SAt316HF-Z JR
(Nam of person acknowledging)
(Signature f Notary Public -Stat Florida y
Personally Known x OR Produced Identification
Type of Identification Produ
�`dr Notary Public State of Florida
Commission No. GGsas3ls Simlarriany
Y Commission GG 946316
OF a Expires 02/16/2024
Revised 07/15/2014
Signature of Contractor/License
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this_V= day of CLv 20 c�0 by
GEORGE G SANCHEZ JR
(Name of person acknowledging)
(Signature of No Public- State of Florida
Personally Known x OR Produced Identification
type of Identification Produced__ - - _
946316 is Public State of Florida
mission No. GG '� �; Simlamany
fix• My Commission GG 946316
'+gracN Expires 021lB/2024
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