HomeMy WebLinkAboutCimino, Sil permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/14/20
Permit Number:
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 APPLICATION FOR: ELECTRIC
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 SOUTH OCEAN DRIVE #1403
Property Tax ID #: 4502-602-0127-000-7
Lot No.
Site Plan Name: CIMINO
Project Name:
CIMINO Block No.
DETAILED DESCRIPTION OF WORK:
REPLACING LIKE FOR LIKE, 100 AMP PANEL AND ADDING SURGE PROTECTION
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 _Pond
,- Electric — Plumbing Sprinklers Generator Roof
— — Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 2144.41 Utilities: _ Sewer Septic Ri,ilriinu Waiakt-
OWNERAESSEE:
CONTRACTOR: v V
Name SIL CIMINO
Name: JOHN PANKRAZ
Address: 9500 SOUTH OCEAN DRIVE #1403
Company: ELITE ELECTRIC AND AIR
City: JENSEN BEACH
State: I✓L-
Address: 1691 SW SOUTH MACEDO BLVD
Zip Code: 34957 Fax:
PORT ST LUCIE
City: State: FL
Phone No. 772-485-1276
Zip Code: 34984 Fax: 772-340-3702
E-Mail:
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 EC13006036
It value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required." emu.
DESIGNER/ENGINEER: x
___Not Applicable MORTGAGE COMPANY: x
L
e: Not Applicable
ess: Name:
Address:StateCity:
Phone State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x
Name: — Not Applicable
Address: — _ Name:
City: ----- _— Address:
Zip: Phone:City: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the fiat incncr+,,n
with tender or an attorneybefore commencingwork or recording our Noticerof Commencement$ consult
Signature of ner/ Lessee/Contractor as Agent for Owner
Signature of Contr for/License Holder
STATE OF FLORIDA
COUNTY OF sTLuae
STATE OF FLORIDA
COUNTY OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence
to (or affirmed) and subscribed before me of
or Online Notarization
this day of this 2020 by
xworn
Presence or Online Notarization
,
this day of 2020 by
Kowwi t ',t�cr-
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Personally Known x OR Produced Identification
Produced ONNI LENAE DEWITT
Type of Identification
ProdU
tr H
Notary Public- State of Florida
: • Commission # GG 166915
^ Y;; ••., KONNI LENAE DEWITT
4 Notary Public— State of Florida
. M)
Tres Dec 10, 2021
(Signature of Not ar ub
y J„enrrtGi I)alional Notary Assn.
=_ • . » - Commission # GG 166915
:,, = + ;= My Comm. Expires Dec 10, 2021
_
(Signature o ary Pu c- t t"°iJf F%Od r ghNationa oary ssn.
Commission No. GG166915 (Seal)
Commission NO. GG166915 (Seal)
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
PLANS VEGETATION SEA TURTLE MANGROVE
DATE
REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Rev.