HomeMy WebLinkAboutHummell, Art permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
4.
iL w « ~ o: L L,1'
e r m| umber:
Bu0i
ding
Q ePerlifelt icat i o n
Planning on d Development Services
Building and Code Regufation Division
2300 Virginia Avenue, Fort Pierce FL 34-982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR .
Residential X
PROPOSED IMPROVEMENT LOCATION:
Address: OCEAN DRIVE, APT 201
Property Tax I D #: 4511-514-0001-000-6
�ot 0,
Site Plan Name, HUMMELL
Block No.
Project Name: HUMMELL
DETAILED DESCRIPTION OF WORK.
Replace, like for like, a m Main lug panel with breakers, Run n e w copper feed wires adding ground wire. Isolate
grounds and neutrals. Existing 125 a m p main disconnect to remain in meter room. Job does n o t require FPL
.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION.
Additional work to be performed
Mechanical
,& Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction.
0
Cost of Construction: 2144.41
under this permit check all that apply:
Gas Piping
S ri n k|e rs
Shutters
Generator
Windows/Doors
Roof
S. F. of Fir 100 .
Utilities: Sewer Septic Buildin Height:
� �
Pond
Pitch
OWNER/LESSEE: e
C O N T R ACTO R e
NameARTHUR HUMMELL
PANKRAZ
Name.JOHN
Address:
DRIVE, APT 201 Company: . ELITE ELECTRIC AND AIR
city: State: PG Address: 1691 SW SOUTH MACEDO BLVD
Zip Code: Fax: PORT ST LUCIE FL
--- __ City:State:
Phone No. Zip559 3498 Fax.• 772-340-3702
Code:
E-Mail: Phone No772-340-3797
Fill in fee simple Title Holder on next page ( if different E-Mail PERMIT@ELITEELECTRICANDAIR.COM
from t h e Owner listed above) 13006036
State o r Cou n ty Li c e n se EC
If value
of
construction is
2 500 or more, a RECORDED Notice of Commencement is required.
If value
of
H A V C 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 Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip; Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONMFMG COMPAKW11)10 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.
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 confliet 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, 1 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 properly. A Notice of Commencement mush 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.
Signature of Ow
r/ Lessee/Contractor as Agent for Owner
Signature of Cont
or/License Holder
STATE OF FLORIDA 57ATE OF FLORIDA
COUNTY OFST LUCIE � COUNTV OFST waE
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this day of , 2020 by
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this day of , 2020 by
JOHN PANKF2AZ JOMN PANKRAZ
Name of person making statement. Name of person making statement.
Personally Known X
Type of Identification..
prnrii iron
OR Produced Identification
(Sign'clru're f Notary
Commission. G11
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
FRONT
COUNTER
A it i— ITT
1� state € Florida
Notary
l# GG 1969,15
A, r-ytnire4n' Der
(Seal)
ZONING
REVIEW
SUPERVISOR
REVIEW
Personally Known x
Type of Identification
Produces
(Signatur?i'of Notary P
Commission No. GG166915
PLANS
REVIEW
VEGETATION
REVIEW
DR Produced Identification
, t � lic �-- State f Ruda.
N i" - - W.,e q '� �Ij L) Commission it,
17
IT10
�+r n i.h4+,-�*rr_�Yire��'7+r�tNt�M+�itlit.cL+'f�Sa►ssJ'll
(Seal)
SEA TURTLE
REVIEW
MANGROVE
REVIEW