HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/3/20 Permit Number:
R�
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: 1708 YORK COURT
Property Tax ID #: 2421-601-0021-000-7 Lot No.1
Site Plan Name: MASI Block No. 3
Project Name: MASI
DETAILED DESCRIPTION OF WORK:
SUPPLY, WIRE AND INSTALL A PIPED IN CIRCUIT FOR A NEW WATER HEATER IN THE LAUNDRY ROOM, INSTALL—A'
MEANS OF DISCONNECT AND HARD WIRED WHIP
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
X Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 808.36 Utilities: _Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJESSICA MAST
Name:JOHN PANKRAZ
Address:1708 YORK COURT
Company: ELITE LECTRIC AND AIR
City: FORT PIERCE State: fql
Address:1691 SW SOUTH MACEDO BLVD
Zip Code: 34982 Fax:
City: PORT ST LUCIE State: FL
Phone No.
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: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation indicated.
as
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 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 commencin work or recordingour Notice of Commencement.
Signature of wner/ Lessee/Contractor as Agent for Owner
Signature of ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFsTLUCIE
COUNTY OFsTLUCIE
Sworn to (or affirmed) and subscribed before me of
X
Sworn to (or affirmed) and subscribed before me
Physical Presence or Online Notarization
this a day OfAUGUST
of
XPhysical Presence or Online Notarization
2020 by
this 3 day of AUGUST 2020 by
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification�-
+KONNI
Personally Known x OR Produced Identification
Prod LENAE DEWITT
is State of Flonda
Type of Identification
Prod
—
f Commission #? GG 166915
Expires Dcc 10, 2021
',!NI LENAE DEWIT T
s`„; Notary Public — State of Florida
,�, # GG 166915
. Commission
-,,,�4 71pa11•, q Comm. Expires Dec 10, 2021
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Commission No. GG166915 (Seal)
Commission No. GG166915
(Seal)
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