HomeMy WebLinkAboutPermit App 6004 Pinetree DriveAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Gate: 08.13.2020 Permit Number:
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Y L c M li UN r_, - Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: ELECTRICAL -
PROPOSED IMPROVEMENT LOCATION:
Address: 6004 PINETREE DRIVE
Property Tax ID #: 3402-603-0179-000-9 Lot No. 10 & 11
Site Plan Name: Black No. 12
Project Name: BANDKOWSKI
DETAILED DESCRIPTION OF WORK:
f
REPLACE EXISTING BREAKER PANEL WITH NEW SQUARE D BREAKER PANEL UTILIZING EXISTING ELECTRIC
IN EXISTING LOCATION - PROVIDE & INSTALL ALL NEW BREAKERS IN PANEL
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
S
Additional work to be performed under this permit– check all that apply:
_Mechanical — Gas Tank s Gas Piping _ Shutters Windows/Doors Pond
'Electric — Plumbing — Sprinklers — Generator e Roof – Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,700.00 Utilities: —Sewer — Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SHARI BANDKOWSKI
Address: 6004 PINETREE DR
Name,: NATHAN LEBLANC
Company. ELITE POWER SOLUTIONS, INC.
City, FORT PIERCE State:
Zip Code: 34982 Fax:
Phone No.
Address: 417 25TH STREET
City: WEST PALM BEACH State: FL
Zip Code: 33407 Fax: (561) 283-3557
Phone No (561) 283-4737
E -Mail:
Fill in fee simple Title Holder on next page { if different
from the Owner listed above) I
E -Mail CINDY@ELITEPOWERSOLUTIONS.NET
State or County License EC13006617
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
j If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable — MORTGAGE COMPANY: xx Not Applicable
Name; Name:
Address:
Address:
City: State: City: —State:
Zip: Phone Zip: Phone:
EEE SIMPLE TITLE HOLDER: xx Not Applicable BONDING COMPANY: xx Not Applicable
Name: Name:
Address: Address:
City: city:
Zip: Phone: Zip: Phone:
OWNPIR/ rnKITDAryno Arrlr%lis-r_
—1 1 ILPV I I - fiPJAILdLion 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 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 atto rney before Commencing work or recording your Notice Of Commencement,
of Owner/ Lessee/Contractor as -Agent for owner
STATE OF FLORIDA
COUNTY OF PAW BEACH
Sworn to (or affirmed) and subscribed before me of
_!�_ Physical Presence or online Notarization
this 13TH day of AUGUST - 2020 by
NATHAN LESLANG
Name of person making statement.
xx OR Produced Identification
ion
(Signature OT90tary Public -
Commission No, (313039797
REVIEWS I FRONT I ZONING
- COUNTER I REVIEW
IATE
ECEIVED
XT --r-
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF PAL MBEACH
Sworn to (or affirmed) and subscribed before me of
XX Physical Presence or Online Notarization
this 13TH day of. AUGUST 2020 by
NATHAN LEBLANC
Name of person making statement,
Per Identification
TV e Ofentifc tion
Pr d7uceld
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MY COMM&ION # GG 039'1187(Signature of Notary Public— 111 d 11,
Stat(! -11 1:101 It I
UPIRES: Noftr& 23, M 0 4 V �� 54*kWM
% Seal; '"T1vu8wdW"So(*mmissiQn No, GG019797 at
SUPERVISOR PLANS VEGETATION SEA TURTLE
.. REVIEW REVIEW I REVIEW REVIEW
MANGROVE
REVIEW