HomeMy WebLinkAboutAlvarenga permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/31/20 Permit Number:
e -
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 X
PERMIT TYPE: ELECTRIC
PROPOSED IMPROVEMENT LOCATION:
Address: MUZ JAN I ANA AVENUE
Property Tax ID #: 1301-604-0100-000-2
Site Plan Name: ALVARENGA
Project Name: ALVARENGA
DETAILED DESCRIPTION OF WORK:
Lot No. 3
Block No. 31
SERVICE CHANGE, COMPLETE 200 AMP SERVICE CHANGE, NEW 2" RISER, METER, 200 AMP PANEL AND UPDATE MAIN
GROUNDING. ALSO A 50 AMP PORTABLE GENERATOR HOOK UP
j CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
is Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2313.88 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name ALLAN ALVARENGA
Name: JOHN PANKRAZ
Address: 8002 SANTANA AVE ST
Company: ELITE ELECTRIC AND AIR
City: FORT PIERCE State: _
Zip Code: 34951 Fax:
Phone No.
Address: 1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No 772-340-3797
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail PERMIT@ELITEELECTRICANDAIR.COM
State or County License EC13006036
•• ""• — —1-1 U-1-1 la U1 IIIU[el d no-unuru imoilce oT Lommencement is requireo.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIOW
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: k Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain do
a permit to the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
�
which is inoconflictawith anyapplicableapplicableton Home Otwnners Assoclatlont rules abylaws or an9covenants that build
drestrict or prop bit 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of 0 er/ Lessee/Contractor as Agent for Owner
Signature of ractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sr LUCIE
COUNTY OF sr LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 31 day of AucusT 20 ZJ by
this 31 day of AUGUST 20 2- by
JOHN PANKRAZ
JOHN PANKRAZ
Name of person making statement.
Name of person making statement.
Personally Known X —OR Produced Identification
Personally Known Produced Identification
Type of Identification
_X_—OR _
Type of Identification
Produced
KGHH! AEGEvV7
Produced_
Notary Public— State of Florida
Commission GGF1 6915-.,
KONNi �ENAE GENII T
P�4y Comm Exp�res G c 10, 2G21
-°� �� Notary Public— State o; -'onda p
(Signature of Nota
(Signature o Nota ,P =', ,t�i�UfcimrEd�rsGec10 2021
Commission No. GG166915 (Seal)
,,. Bonded thmuyf: National Notary Assn.
Commission No. GGe
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 21 Ill!)