HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR.APPLICATION TO BE ACCEPTED
Date: 9125120 Permit Number:
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.. Building Kermit 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:ELECTRICAL = SERVICE CHANGE
IOPt3ED IMPRO�lMNT rli 4Ws
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Address: 13529 SOUTH INDIAN RIVER DRIVE,JENSEN BEACH, FL 34957
Property Tax ID#: 4509-801-0003-000-4 Lot No.
Site Plan Name: MCCARTNEY,DAN Block No.
Project Name: MCCARTNEY, DAN
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INSTALL 150 AMP SQUARE D QO CIRCUIT PANEL WITH ALL NEW BREAKERS AND UPDATE MAIN GROUNDING.
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit—check all that apply:
—Mechanical _Gas Tank —Gas Piping � Shutters ,Windows/Doors ^Pond
XEEectric _ Plumbing _Sprinklers ,Generator `Roof Pitch
Total Sq, Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2491.89 Utilities: _Sewer _ Septic Building Height:
7 .. � v w�.r a r' `#-F s � AY 's ,r oma -smrnr-yr ''"t �t-19'
MEN; i -700 t �� is ,,, gay C 4 .( TRAMIN
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Name CITRUS REAL ESTATE HOLDINGS LLC Name:JOHN PANKRAZ
Address:5.411 LAZY OAKS LANE Company;ELITE ELECTRIC AND AIR
City: ORLANDO State:F(_ Address:1691.SW SOUTH MACEDO BLVD
Zip Code: 32839 Fax: City: PORT SAINT LUCIE State:FL
Phone No.407-234-0120 Zip Cade: 34984 Fax: 772-340-3702
E-Mail:DMCCARTNEY@MCCARTNEYANDCO.COM Phone No 772-340-3797
Fill in fee simple Title Holder on next page(if different E-Mail PERMIT@ELITEELECTRICANDAIR.COM
from the Owner listed above) State or County License EC13Q06036
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.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: `Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone-
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FEE SiMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFF1DViT: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 Owner/Lesse tractor as Agent for Owner Signature of Contracto Li r Holder
STATE OF FLORI STATE OF FLO ID
COUNTY OF COUNTY OF
Swgrn to(or affirmed)and subscribed before me of Syvorn to(or affirmed)and subscribed before me of
ysical Presence or Online Notarization Physical Presence or Online Notarization
this M day of 12020 by this day of ,2020 by
c�bGZ.r1.."?Cg jr1 --
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known.. e, OR Produced Identification
Type of Identification Type of Identification
Produced ""^'r'•.. KONNILENAEDEWITr Produced
an* „�,_. Notary Public—State of Florida KONNt tENAE DEWITf
Commission#GG 766915 :`-_ Notary Public—State of Florid
. (pf Commission#GG 166915
(Signature of Notary Public to uhf, otBfih2e�throughNallomalNotaryAssn. (Signature of Nota Public-
ad te• 'd' 1
t��+ g Notary ..,.... ad though National Nolary&
Commission No.G(Sr 1 j (Seal) Commission No.(15161l442Q (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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