HomeMy WebLinkAboutHenson, Gregg permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: b/12/21
It Y
e P� -- 1: I t 3. r - t t i
Planning and Development Services
Permit Number:
Building Permit APplication
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone.- (772) 462-1553 Fax: (772) 62- 8
Commercial
PERMIT APPLICATION FOR:ELECTR C
PROPOSED IMPROVEMENT LOCATION:
Address: 471 LA BIJONA VITA DRIVE
Property Tax I D #: 3426-664-0160-000-6
Site Plan Name,* HENSON
Project Name: HENSON
Residential X
Lot No. 164
Block No.
I DETAILED DESCRIPTION OF WORK:
REPLACE, LIKE FOR LIKE, 200 AMP PANEL AND UPDATE THE MAIN GROUNDING SYSTEM. DOES NOT RFoI naF Fpi
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed
under this permit —check al11 l that apply:
-__. �_. . ■ 6-
Mechanical � Gas Tank ,Gas Piping � Shutters Windows/Doors Pond
Electric � Plumbing ` Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First FPoor:
Cost of Construction: $ 2355•84 Utilities: � Sewer ` Septic Building----------- Height.-
OWNER/LESSEE.V
Name GREGG HENSON
Address: 471 La Buono Vita Drive
City: PART ST LUCIE
State: fit.
Zip Code: 34952 Fax:
Phone No. 301-751-4670
E-Mail .- BH ENSON2005 DGMAIL.Com
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
CONTRACTOR:
N ame.-JOHN PNAKRAZ
Company: ELITE 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-MaiIPERMIT@ELITEELECTRICANDAIR.COM
State or County License EC 13006036
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
1 4a
If value of HAVC is $7,,500 or more, a RECORDED Notice of Commencement is required.
LEIVIENTALCONSTRUCTION UEN LAW I
NFO
DESIGNER/ENGINEER
Name:
Address:
a
19 x Not Applicable
City: State:
zipm —__ Phone
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: --__ Phone:
X Not Applicable
RMATION:
MORTGAGE
Name:
Address:
comPANY:
x Not Applicable
City: State:
Zip: Phone:
Name: x Not Appt�cable
Address:
Cityb-
Zip: Phone:
°`// %wulv I KgCTUR A HDV07100 Application is hereby made to obtain a permit to do the work
certify that no work or ihas commenced prior to the issuance of a ��d installation as indicated.
St. Lucie County makes no representation that is granting apermit wild permiwhich is in con-Flict with any applicable Home Owners authorize the permit holder
structure. Please consult with your Horne Owners Association and reviewyour deed �� build the subject structure
Assac�ation rules, bylaws or and covenants that may restrict or prohibit such
Inconsideration of the granting of this requesfied permit1 do �ereb Befor any restrictions which may apply.
in accordance with the approved plans, the Florida Building Codes and St, Lucie�t�W�+Iin all respects perform the work
Thy followingbuilding County Amendments.
permit applications are exempt from undergoing a Sul! concurrent review:
accessory structures, swimming pools., fences,, walls, signs, screen rooms and access y room additions,
WARNING TO OWNER: Vo�� failure to record a Notice of Commencement°�� uses to another nor -residential useimprovements to your property, ,q Notice of Cammenemmay result in paying twice for
Lucie County and posted on the Jobsite before the First ins end must be recorded in the public records of St.
with lender or an attorne before commencin work or �epection. If you intend 'to obtain financing., consult
_ordin our Not�ce of Commenc
ement,
Signature of OwD&/O" L�es�see�/C�on�tr�act�or as Agent for Owner
STATE OF FLORIDA
COUNTY OFST LUCIE
Sworn to {or affirmed} and subscribed before me of
X Physical Presence or Online Notarization
this day of 1K Ay 2021 by
JOHN PANKRAZ
Ar-_ ..
VIame or person making statement.
Personally Known x � pR Produced Identification
Type of Identification ------
Produced .� _n ..� __ -
(signatu of Notar
Commission N
REVIEWS
DATE
RECEIVED
6A�T �E
COMPLETED
ev. 5WUW--
;iliij!!+•
Notary Public State of Florida
'
Bonded through Nlailonral No[ar Afssn.
FRONT
COUNTER
ZONING
REVIEW
:W
SUPERVISOR
REVIEW
BONDING COMPANY,0
Signature Of f� C
or/License Holder
STATE OF FLOMDA
(COQA H7V OF ST LUCIE
X
Sworn to (or affirmed) and subscribed before me of
Physical Presence or
.���s � day o{ ���� Online Notarization
_1 2020 by
JOHN PANKRAZ
M, i
jvame of person making statement.
Personally Known OR Produced Identification
Type of ldentificat:-��� -------P rodlir-p—H-ft,
(Signatur-6--Of Notary
Commission No. GG966915
PLANS
REVIEW
c ' 01
Pxnii tic Not I
10, 2021
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I LEI NY- 0 no I N U I -o- ry As,% P.
VEGETATION
REVIEW
(Seal)
SEA TURTLE
REVIEW
MANGROVE
REVIEW