HomeMy WebLinkAboutAnderson, Pamela permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/12/21
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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 - SERVICE CHANGE
PROPOSED IMPROVEMENT LOCATION:
Address: 3004 INDIGO BUNTING COURT
Property Tax ID #: 3424-701-0073-000-5
Lot No. 10
Site Plan Name: ANDERSON
Block No. 57
Project Name: ANDERSON
[DETAILED DESCRIPTION OF WORK:
COMPLETE UNDERGROUND SERVICE REPLACEMENT WHICH INCLUDES REPLACING 200 AMP PANEL, LIKE
FOR LIKE, AND UPDATE MAIN GROUNDING, WILL BE SCHEDULED WITH FPL
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
tv- Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2466.27
OWNER%LESSEE:
Name PAMELA ANDERSON
Address: 3004 INDIGO BUNTING CT
Windows/Doors Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
City: PORT ST LUCIE State: rL
Zip Code: 34952 Fax:
Phone No. 772-349-1281
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: JOHN PANKRAZ
Company: tL1 I E ELECTRIC AND AIR
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 PERMIT@ELITEELECTRICANDAIR.COM
State or County License EC13006036
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: x Not ApplicableqAddress:
MORTGAGE COMPANY: x
Name: — Not Applicable
Address: ame:
City:
State: it State:
Zip: Phone y
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x
Name: Not Applicable
Address: Name:
City: Address:
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 insnartinn
WtLri ienaer or an attorneybefore commencin work
or recording our Notice of Commencementg� consult
Signature of ner/ Lessee/Contractor as Agent for Owner
Signature of Cont ctor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
STATE OF FLORIDA
COUNTY OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence
Sworn to (or affirmed) and subscribed before me of
or Online Notarization
this day of 2020 b
x Physical Presence or Online Notarization
, Y
this day of 2020 by
JOHN PANKRAZ
Name of person making statement.
JOHN PANKRAZ
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
PersonallyKnown x
OR Produced Identification
Prod
Type of Identification
NAE DEWITT
" w'
Produce
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1 Notary Public — state of Florida
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Commission No. GG166915 (Seal)
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