HomeMy WebLinkAboutKrawkowski permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-14-20 Permit Number:
S>
V. LSUL� L E
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential x
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 6110 Deborah Way
Property Tax ID #: 1301-605-0287-000-9 Lot No. 21
Site Plan Name: Block No. 52
Project Name: Krakowski
DETAILED DESCRIPTION OF WORK:
Like for like replace existing panel with new. No service upgrade.
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
/_
Electric Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction. S 1500.00 Utilities: —Sewer _Septic Building Height:
Pond
Pitch
OWNERAESSEE:
CONTRACTOR:
NameThomas Krakowski
Name:William Buehler
Address: 6110 Deborah Way
Company:All American Air & Electric, Inc
CILy: Fort Pinrrn State- I–L-
34951
Zip Code: Fax:
Phone No.609-703-2139
Arlrirp-4115 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-878-5144
Phone No772-878-5143
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Nlail9calhoun@aaaeinc.com
State or County License EC0002438
If value of construction is 2500 or more, a KtLL)KUtU IVouCe of i.unnncnLcn1cnL 3 -%Jt
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
DESIGNER/ENGINEER: Not
LIEN LAW INFORMATION:
Name:
Address: State:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MO TR GAGE COMPANY:
.� Not Applicable
Name'
Address:
State:
City:
Zip: _____J Phone:
BONDING COMPANY:
Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR 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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure. Please cconsult withpyoucr Home owners owners
end review your deed or any restrictions which ma oa prohibit such
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, wails, 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 tod yoosteddron tike lobsiteice of Commencement before the firstinspection. If you Intend to obtain financing,t be recorded in the lic consult
cords of St.
Lucie County and p
w�th lender or an attorney before com.mencing work or recordingr Noticof
oue Commencement..
w 1
Signa re of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA L�I 1 L�
COUNTY OF
Swojn to (or affirmed) and subscribed before me of
V physical PresAnce or Online Notarization
this day of ��� 20 ?U by
of person making statement.
Signature of Contractor/ License Holder
STATE OF FLORlgA (_t l�.l�
COUNTY OF
Swgrn to (or affirmed) and subscribed before me of
Physical Prese ce or Online Notarization
this J day cf 20_ by
Name of person making statement.
rsonally Known � OR Produced Identification Personally Known OR Produced Identification
Type of Identification
e of Identification Produced
iature of Notary Public- State of Florida )
mission No. �-G- w33 (Seal)
REVIEWSI FRONT ZONING
COUNTER REVIEW
COMP
(Signature of Notary Public- State of Florida )
Commission No. 6 4/(P�f, (Seal)
V
SUPERVISORI PLANS I VEGETATION SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW I! REVIEW