HomeMy WebLinkAboutPermit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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 X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 34 ORO GRANDE WAY PORT SAINT LUCIE, FL 34952
Legal Description: ST LUCIE GARDENS 26 36 40 THAT PART OF BLKS 1 AND 2 LYG ELY OF US #1 AS SHOWN IN OR 2389-720
BEING LOT 34 ORO GRANDE WAY (0.13 - 5663 SF) (OR 3914-333)
Property Tax ID #. 3426-500-1207-000-0 Lot No. 34
Site Plan Name: Block No. 1 & 2
Project Name: CHARLES BARDONS
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL 50AMP BREAKER AND UL LISTED INTERLOCK KIT
mitional work to be oertormed under this permit — check a apply:
0HVAC I _I Gas Tank Gas Piping Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers ❑ Generator ❑ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 1,193.29
S Ft. of First Floor: _
Utilities:[] Sewer 0 Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name CHARLES BARDONS
Name: GEORGE G SANCHEZ JR
Address: 34 ORO GRANDE WAY
Company: EXCEL ELECTRIC LLC
Address: 1391 SW BELLEVUE AVE
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 772-204-2092
City: PORT ST LUCIE State: FL
Zip Code: 34953 Fax:
Phone No. 561-408-0722 Qualifier 561-513-1477
E-Mail: charles.bardons@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: EXCELOFFICE77@GMAIL.COM
State or County License: EC13006483
vaiun uwnatr uctwn l5 avvv or more, a KtLUK1Jt1J Notice oT commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Appl
Name:
Address:
City:
Zip: Phone:
State
MORTGAGE COMPANY: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: 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 _ or r corc1[rq_ar_ur Notice of Commencement. — , __----
Signature of Owner/ Lessee/Agent Signature of Contractor
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this _:J�clay of JU IV 20 Zby
GEORGE G SANCLHEZ JR
(rvame t person acknowledging)
Sign ture of try Public- State of Florida )
Personally Known x OR Produced identification
Type of Identification Produced
Commission No. GG 946316
Notary Public State of Florida
Ashley Simlamany
q Rd� Expires 02/t6i2024
Revised 07/15/2014
The forgoing instrument was acknowledged before me
thisli day of J U 20 ,2-D by
GEORGE G SANCHEZ JR
(Name of person acknowledging)
(Signature of Notary blic- Sta e of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
ion NO. GG 946316
.> ITA Notary Public State of Florida
Ashley Simlamany
icsier� GG 946346
o,a Expires02/16/2024
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