HomeMy WebLinkAboutPermit App SignedALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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 YES
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 1515 NW LANCEWOOD TERRACE PALM CITY, FL 34990
Legal Description: HARBOUR RIDGE -PLAT S- EAST HAMMOCK VILLAGE UNIT 7
Property Tax ID #t: 4426-803-0017-000-7 Lot No._
Site Plan Name: Block No.
Project Name: JACKIE OJAKIAN
Setbacks Front Sack: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING 200AMP MAIN LUG PANEL WITH NEW 200AMP MAIN LUG PANEL
Aaaitionai worK to pegej rtormea unser tnis permit— cnecK all mat apply: L
HVAC LJ Gas Tank F]Gas Piping _ Shutters F]Windows/Doors
Electric Plumbing Sprinklers Generator LJ Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 2,312.42 Utilities: Sewer []Septic Building Height:
OW N E RAESSE E:
CONTRACTOR:
Name THOMAS DECHIARO
Name: GEORGE G SANCHEZ JR
Address: 1515 LANCE WOOD TERRACE
Company: EXCEL ELECTRIC LLC
p
Address: 1391 SW BELLEVUE AVE
City: PALM CITY State: FL
Zip Code: 34990 Fax:
Phone No. 561-371-6529
E-Mail:jojakian@gmail.com
City. PORT ST LUCIE State: FL
Zip Code: 34953 Fax:
Phone No. 772-529-1091
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: EXCELOFFICE77 a@GMAIL.COM
State or County License: EC13006483
If value of construction is $2500 or more, a RECORDED 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: i Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 Count 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 cording-vetxrN-ptice of Commencement.
— Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STT LUCIE
The Jf�or�going instrument was acknowledged before me
this L0.,day of 20 WW by
GEORGE G SAN6HEZ JR
(Name of erson acknowled }
7gnature of N ry Public- State of Florida }
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No:
Ashley
Revised 07/15/2014
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this day of 20 ZO by
GEORGE G SANCHEZ JR
{Name of p rson acknowledging )
{Signature of Notary ublic- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
State ofForida I Commission No.
Notary Public State of Florida
Ashley Simiamany
tiny Commmion f -C, o6414
Expires 0211612024
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