HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/16/20 Permit Number:
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
PERMIT APPLICATION FOR: ELECTRIC
PROPOSED IMPROVEMENT LOCATION:
Address: Jar I HA I UHER STREET
Property Tax ID #: 2429-243-0001-0200-7
Site Plan Name: COLONNA
Project Name: COLONNA
I DETAILED DESCRIPTION OF WORK:
Residential X
Lot No.
Block No.
Service Change, Replacing 200 amp meter can, like for like, update main grounding, new 42 space panel with all new breakers,
Includes re routing open spliced wire in attic entrance.
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
XElectric _ Plumbing Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2497.04 Utilities: —Sewer —Septic Building Height:
Windows/Doors Pond
Roof Pitch
OWNER/LESSEE:
CONTRACTOR:
Name JAMES COLONNA
Name: JOHN PANKRAZ
Address: 3371 HATCHER STREET
Company: ELITE ELECTRIC AND AIR
City: FORT PIERCE State: l%L
Zip Code: 34981 Fax:
Phone No. 508-648-1000
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
� vau vLuna{, UI.UUII 1zo 43UV Uf FTIVUe, d Mrs-UKUCIJ rvotice OT 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
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
_
City:
Zip: Phone
_State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: x Not Applicable
Name: _
Name:
_
Address:
Address:
City:
City:
Zip: Phone:____
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 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 Commencement.
Signature of Own / Lessee/Contractor as Agent for Owner
Signature of Contracto cense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sT wcie
COUNTY OF sT LUCIE
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 day of 2020 by
this day of 2020 by
KONNI DEWITT
KONNI DEWITT
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
Type of Identification
Produced _
KONNI LENAE DEWITT
Produced
�yµv'rq, •,., KONNI LENAE DEWITT
;,•tP:'vn;H.
Notary Public — State of Florida
i' , '; Notary Public— State of Florida
166915
# GG 166915
` • ; : • = Commission # GG
(Signature of Notary Public S#� b�l m. Expires Dec 10,
�; . 1
(Signature of Notary Public- at , n Notary
through Assn.
Bonded through National Notary Assn.
, edlhrou g
Commission No. GG166915 ea
Commission No. GG166915 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.