HomeMy WebLinkAboutKosco, Catherine permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/7/21 Permit Number:
o [Luau
' to Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 941 WATERS EDGE WAY, FORT PIERCE, FL 34949
Property Tax ID #: 1423-504-0009-000-2
Site Plan Name: LAITE, CATHY KOSCO
Project Name: LAITE, CATHY KOSCO
9
Lot No. 6
Block No.
I DETAILED DESCRIPTION OF WORK: I
K6PC4t1nrG, Nice Gun u«K 1W AnP �-4ir+ Cah6U -
c1('aaTt-' J61 FIN
G68ur4olr►6 "D ADOING the c(Acuir r-JR tr_SL4 W44_ (44-2(4t_ 300 Lilt-L c315'
SCIrf.Cat.f� wI FPS
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
—Mechanical _ Gas Tank —Gas Piping _ Shutters
ii Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2347.03
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNERf LESSEE:
CONTRACTOR:
Name MYRIC LAITE AND CATHERINE KOSCO
Name: JOHN PANKRAZ
Address: 941 WATERS EDGE WAY
Company: ELITE ELECTRIC AND AIR
City: FORT PIERCE State: EL
Zip Code: 34949 Fax:
Phone No. 772-461-9341
Address: 1691 SW SOUTH MACEDO BLVD
City: PORT SAINT LUCIE State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No 772-340-3797
E-Mail: ANNKOSCO@BELLSOUTH.NET
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
n value ui Lunbiummun Is zDvv or more, a KtwKutu Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:_
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State
x Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip Phone:
x Not Applicable
State:
X Not Applicable
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 your Notice of Commencement.
I
Signature of Owner/
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
ractor as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this day of 202( by
:J-OJ
JOHN PANKRAZ
Name of person making statement.
Personally Known x OR Produced Identification
Type of IdentificaatLon—
Produced .--
_ KONNI LENAE DEWITT
Notary Public — State of Floril
�7 y
• ; �; Commission # GG 166915
(Signature of Notary Public- S1
B nded through National Notary As
Commission No. GG166915 (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
COMPLETED
ev�6—
Signature of Contract
o / is se Holder
STATE OF FLORID
COUNTY OF SAINT LU IE
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this:T `day of A qS-i \ 2@2r by
2C2►
JOHN PANKRAZ
Name of person making statement.
Personally Known x OR Produced Identification
Lign�ature
Identification
.d- KONNI LENAE DI
,„Flu
Notary Public -State
Commission # GG
• « + rxpiresDc
of Notary Public- State of Ib. ,, _.
Bonded through National
Commission No. GG166915 (Seal)
UPERVIS
S REVIIEWORI PLANS REVIEW I VEGETATION I SIATURTANGRO
EV EWLE I M EV EWVE
5
2021