HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/8i20
Permit Number:
--
s ,
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 TYPE: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION
Address: 127 EDEN CREEK LANE
Property Tax ID #: 4509-807-0012-000-8
Site Plan Name: ORR
Project Name: ORR
Lot No. 9
Block No.
I DETAILED DESCRIPTION OF WORK:
REPLACING LIKE FOR LIKE, 200 AMP MAIN BREAKER, JOB WILL BE SCHEDULED WITH FPL AS AN EMERGENCY JOB
CUSTOMER HAS PARTIAL POWER IN HOME AND LIMITED AC
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank Gas Piping _ Shutters
,X Electric _ Plumbing —Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: _Sewer _ Septic
OWNER/LESSEE:
Name DAWN ORR
Address: 127 EDEDN CREEK LANE
City: JENSEN BEACH State:i
Zip Code: 34957 Fax:
Phone No. 501-339-7259
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
__—_ Windows/Doors
Roof Pitch
Building Height:
CONTRACTOR:
Name: JOHN PANKRAZ
Company: ELITE ELECTRIC AND AIR
Address: 1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE
State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No 772-340-3797
E-Mail PERMIT@EL[TEELECTRICANDAIR.COM
State or County License EC13006036
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:_
Address:
City:
Zip: Phone:
x Not Applicable
State:
-k_ Not Applicable
'ORMATION:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation 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 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 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."
Signature of Ow / Lessee/Contractor as Agent for Owner Signature of Co actor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this 8 day of JULY 20_ by
vame oT person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
,�� „ + KONNI LENAE DEWITT
k ,y
'�� Notary i'ubllc- State of Florida
* r a commi",lion # GG 166915
in qn?l
(Signature of Notary
n on A llnrb.. !!!!Ilona! Notary Assn.
Commission No. GG166915 (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this 8 day of JULY 20_ by
Name of person making statement.
Personally Known X
OR Produced Identification
Type of Identification
Produced
KONNI LENAE DEWITT
Notary Public— State of Florida
Commission # GG 166915
(Signature o otary P
Itc'�`t�'e OfCQBpIBi0tNe(ionalNo(ary Assn. '
Commission No. GG166915
(Seal)
SUPERVISOR I PLA
REVIEW REVIE
NS
W
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW