HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/24/21 Permit Number:
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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
PERMIT APPLICATION FOR: ELECTRIC
PROPOSED IMPROVEMENT LOCATION:
Address: y JC rxhkk r11NH LHNt
Property Tax ID #: 3414-501-1701-000-9
Site Plan Name: BALDRIDGE
Project Name: BALDRIDGE
Residential X
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK:
REPLACING FEED TO PANEL, WHICH CONSISTS OF DIGGING APPROX. 8' TOT HE PANEL FROM METER AND
RUNNING 2 GAUGE WIRE AND NEW GROUND
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
k Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Cost of Construction: $ 1667.42 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ERNEST BALDRIDGE
Address:9 SE KACHINA LANE
Name-JOHN PANKRAZ
Company: ELIET ELECTRIC AND AIR
City: PORT ST LUCIE State:i"(r
Zip Code: 34952 Fax:
Phone No.772-878-6997
Address:1691 SW SOUTH MACDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone N0772-340-3797
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
a nc%.%jnvru ,,,once or Lommencemem: is requires.
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
Name:
Address:
City: State:
Zip: Phone_
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
x Not Applicable
Name: _
Address:
City: State:
Zip: phone: —
BONDING COMPANY: x 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 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 attorne before commencin work or recording our Notice of Co
Signature of Ow r/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFSTLUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or
this 24 day of MARCH this Notarization
2020 by
JOHN PANKRAZ
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produc
„Y„; JNI LENAE DEWITT
tP h
' s' 1■ Notary Public — Slate of Florida
Commission # GG 166915
(Signature o otary P IF��, " o I rr
;;!,;;; ••' Bonded t on(Jh National Notary Assn.
Commission No. GG16691 (Seal)
mmencement.
Signature of Contra r/License Holder
STATE OF FLORIDA
COUNTY OFSTLUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 24 day of MARCH
2020 by
JOHN PANKRAZ
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
0 KONNt LENAE DEWITT
Notary Public — State of Florida
166915(Si nature o ary Pu it fvltgi;1„tw�) Expires Dec 10, 2021
Bonded through National Notary Assn.
Commission NO. GG166915 .
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