HomeMy WebLinkAboutHerrmann, Theodore permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/23/21
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: 4200 NORTH HIGHWAY Al #915
Property Tax ID #: 1423-501-0167-000-8
Site Plan Name:
HERRMANN Lot No.
Project Name:
HERRMANN Block No.
DETAILED DESCRIPTION OF WORK:
REPLACING, LIKE FOR LIKE, 125 AMP PANEL AND RUN NEW DEDICATED CIRCUIT FOR AIR HANDLER
DOES NOT REQUIRE 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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2075.22
— Windows/Doors _ Pond
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _ Septic
OWNER/LESSEE:
NameTHEODORE HERRMANN
Address:4200 NORTH HWY Al #915
City: FORT PIERCE State:
Zip Code: 34949 Fax:
Phone No.860-929-2890
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Name:JOHN PANKRAZ
Company: ELITE ELECTRIC AND AIR
Address:1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE FL
State:
Zip Code: 34984 Fax: 772-340-3702
Phone No772-340-3797
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 LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Applicable
Name: _Not
Name:
Address: Address:
City: State: City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City:
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 the Florida
plans, 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 commencing work or recording our Notice of Commencement.
Signature of Ow r/ Lessee/Contractor as Agent for Owner Signature of Contractor icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OFSTLUCIE
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 Physical Presence or Online Notarization
this day of
2020 by 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
Type of Identification
Produced
LENAE EWITT Produced
;<.• G.=11; .,`.KON`i
,"'y,"
Notary Public — State of Florida ; ,•,, PJN! !_ENAE DEW!TT
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. �`:1» • `_ Commission # GG 166915 — " Notary Public — State of Florida
1 » !� _ Commission rt GG 166915
(Signature of Notary Public S ; ' 'a-Pssn.
Baa)Ihroyh_National NotaryXP
(Signature of otary Pub c 6onIeaauyhNational
.tary
" iNotary Assn.
Commission No. GG166915 (seal)
Commission No. GG166915 (Seal)
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20