HomeMy WebLinkAboutHummell Art permit application PER DOUGAll APPUCABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date: 5/11/21
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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
PERMIT APPLICATION FOR: ELECTR C
Residential X
� PROPOSED IMPROVEMENT LOCATION:
Address: 10410 S OCEAN DRIVE, APT 201
Property Tax I D #: 4511-514-0001-000-6 Lot No.
Site Plan Name: HUMMELL Block No.
Project Name: HUMMELL
DETAILED DESCRIPTION OF WORK:
New Electrical Meter
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Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2144141
under this permit — check all that apply:
_Gas Piping
Sprinklers
Shutters
Generator
Windows/Doors
s � �
Sq. Ft. of First Floor:
Utilities: _Sewer � Septic Building Height:
Pond
Pitch
OWNER/LESSEE: CONTRACTOR:
NameARTHUR HUMMELL Name-JOHN PANKRAZ
Address: 10410 S OCEAN DRIVE, APT 201 Company: ELITE ELECTRIC AND AIR
City: JENSEN BEACH State: PC, Address: 1691 SW SOUTH MACEDO BLVD
Zip Code: 34957 Fax: city.- PORT ST LUCIE State: FL
Phone No. 615-310-3559 Zip Code: 34984 Fax: 772-340-3702
E-Mail: Phone No772-340-3797
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 EC 13006036
IT
vaiue
of
construction is
ZSoo 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 Not Applicable
Name: 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 AFHDVBT. 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 balder 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.
inconsideration 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 pasted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording Notice of Commencement.
Signature of Ow
r/ Lessee/Contractor as Agent for Owner
Signature of Cont
or/License Holder
STATE OF FLORIDA STATE OF FLOROA
COUNTY OFST Luae COUNTYOF sr Lucie
Sworn to (or affirmed) and subscribed before me of
X _Physical Presence or Online Notarization
this I day of , 2020 by
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
th.6.
is day of , 2020 by
JOHN PANKRAZ JOHN PANKRAZ
Name of person making statement. Name of person making statement.
Personally Known X
Type of Identification
Produced
OR Produced Identification
I y
" 4
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(Sign'ciru're f notary qu bt
No. GG166915
REVIEWS
DATE
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DATE
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FRONT
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Ko�iL,I It uNAE DEWITT
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Personally Known x
Type of Identification
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(Seal) Commission No, GG966915
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
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(Seal)
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW