HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/14/20 Permit Number:
L LIL
' `'' i.' . 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: 13950 CANCUN AVENUE
Property Tax ID #: 1306-501-0191-000-5
Site Plan Name: WOOD
Project Name: WOOD
DETAILED DESCRIPTION OF WORK:
INSTALLING A 50 AMP TESLA WALL CAR CHARGER
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.6
Block No. 12
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: _
Cost of Construction: $ 2449.77
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT WOOD
Name:JOHN PANKRAZ
Address: 13950 CANCUN AVENUE
Company: ELITE ELECTRIC AND AIR
City: FORT PIERCE State: rL_
Zip Code: 34951 Fax:
Phone No.856-287-2523
Address: 1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No772-340-3797
E -Mail:
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
E -Mail PERMIT@ELITEELECTRICANDAIR.COM
State or County License EC 13006036
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
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: X Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
UVvrvtrc/ LUIv I KAL UK 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 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 Comm t
encemen .
Signature of ner/ Lessee/Contractor as Agent for Owner
Signature of Cont or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFsTLuae
COUNTY OFSTLUCIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this 14 day of AucusT 2020 by
this 14 day of AUGUST 2020 by
1WNt/1
VytitJi
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification 7 x"
KONNI ENAE DEWi TT
Type of Identification
Produced I ,"'•'+'" -
TPubhc—StateofFlorda
((x� r�41; • Commission # GG 166915
Produced � ~NAEDEWIR
fly Corrl-t Exp res Dcc 10, 2021
.
", , Notary Public— State of Florida
l`� ± • _ Commission # GG 166915
(Signature of Notary P lic tat'b "y' - -
c
(Signature of Notary u t 'soni oiu
t�hl;cna�' Ty'Ass
Commission No. GG166915 (Seal)
Commission NO. GG166915 (Seal)
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