HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/15/20 Permit Number:
O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: ELECTRIC
PROPOSED IMPROVEMENT LOCATION:
Address: 147 NE NARANJA AVENUE
Property Tax ID #: 3419-530-0193-000-2
Lot No.7
Site Plan Name: URRUTIA
Block No. 39
Project Name: URRUTIA
DETAILED DESCRIPTION OF WORK:
INSTALL 125 AMP OUTDOOR PANEL FOR POOL
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters — Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2405.04 Utilities: _Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameSERGIO URRUTIA Name:JOHN PANKRAZ
Address:147 NE NARANJA AVENUE Company: ELITE ELECTRIC AND AIR
City: PORT ST LUCIE State: — Address:1691 SW SOUTH MACEDO BLVD
Zip Code: 34983 Fax: City: PORT ST LUCIE State: FL
Phone No.772-302-0467 Zip Code: 34984 Fax: 772-340-3702
E-Mail: Phone N0772-340-3797
Fill in fee simple Title Holder on next page ( if different E-Mail PERMIT@ELITEELECTRICANDAIR.COM
from the Owner listed above) State or County License EC13006036
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
X_ Not Applicable MORTGAGE COMPANY: x
Not Applicable
Name: —
Address.
State: City: State:
Zip: Phone:
X Not Applicable BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 recording our Notice of Commencement.
Signature caner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFSTLUCIE
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 15 day Of JULY 2020 by
JO krrr P+rr isa,l Z
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced �hz�
LENAE DEWiTT
Notary Public - State of Fiorda
Commis on # l 166915
(Signat e of Notary fc Vie`
onde uouyh IionalNolaryAssn.
Commission No. GG166915 (Seal)
S'gnatu. e clt�;htractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 15 day of JULv 2020 by
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification ..� — —
rr uuucea """" KONNI LENAE DEWiTT
n l otary Public - State of Florida
Comm1sssan#GG166915
My Comm. Expires Dec 10, 2021
(Signature of Notary P - �h f,aronal Nolary Assn.
Commission No. GG166915 (Seal)
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