HomeMy WebLinkAboutEmmendorfer, Edward permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/20/21
Permit Number:
L, jam} L, Building Permit 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: ELECTRIC
PROPOSED IMPROVEMENT LOCATION:
Address: 3791 HONEYSUCKLE COURT
Property Tax ID #: 3425-703-0153-000-9
Lot No.30
Site Plan Name: EMMENDORFER
Block No. 24
Project Name: EMMENDORFER
DETAILED DESCRIPTION OF WORK:
Running wire underground that FPL ran temporaily and replacing the existing 200 amp meter main combo, will be
scheduled with FPL p(Ju VI TWC *40rip, 612Q%JW0' 4
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
X_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2189.15 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Edward Emmendorfer Name:John Pankraz
Address:3791 Honeysuckle Court Company: Elite Electric and Air
City: Port St Lucie State: ri- Address:1691 SW South Macedo Blvd
Zip Code: 34952 Fax: City: Port St Lucie State: FL
Phone No.860-426-1375 Zip Code: 34984 Fax: 772-340-3702
E-Mail:eemmendorfer@yahoo.com Phone N0772-340-3797
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
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 LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY:
Name: x Not Applicable
Address: Name:
City: Address:
State: City:
Zip: Phone State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY:
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 noyywork or installation has commenced prior to the issuance of a permit.
St. Lucie
s no
on
which is noconflicnttawith any applicable lHomethat
Owners Association ranting a l rules,authorize
by bylaws or andpermit
covenants thatmaymabuild
y restrict subject
rr 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 OwDWFI Lessee/Contractor as Agent for Owner Signature of C ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFsT LUCIE COUNTY OFST LUCIE
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization x
this day of 2020 b Physical Presence or Online Notarization
V this day of 2020 by
JOHN PANKRAZ
JOHN PANKRAZ
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification
Produced KONNI LENAE DEWITT Type of Identificatio 4'!=
Produ KONNI LENAE DEWITT
:Notary ublic — State of Florida _;;.�`," "
\ » -, — State of Florida
" �``)" • commission # GG 166915
• «` » Commission # GG 166915
expires Dec 0, 7.021 .: fPi.il:l, My Comm. Expires Dec 10, 2021
(Signature of Notary P. blic'„ t' , 6 0fcfl&lftt Nationaloar
(Signatur otary u 11 "
Commission No. GG 1(pIp (Seal) Commission No. G b/lpl. II
(Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
TE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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RECEIVED
DATE
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