HomeMy WebLinkAboutSLC Permit App.Sztankovits.Temp Power.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-17-21
Permit Number:
LLUC
IY " „ w- 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: Temporary Power Pole Electric
PROPOSED IMPROVEMENT LOCATION:
Address: 8024 Spendthrift Lane
Property Tax ID #: 3321-502-0053-000/2 Lot No. 104
Site Plan Name: Sabal Creek Phase 2 Subdivision Block No.
Project Name: 5ztankovit5 Residence
DETAILED DESCRIPTION OF WORK:
Provide & Install -Temporary Power Pole for New Construction (Permit SLC 2102-0688)
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
Electric _ Plumbing Sprinklers — Generator _ Roof Pitch
Total Sq, Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 800.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name John & Edith Sztankovits
Name: Joseph E. Herndon Sr
Address: n 5200 N Ocean Drive
Company: Joe's Electric of St Lucie Cnty., Inc.
City: Riviera Beach State:
Zip Code: 33404 Fax:
Phone No.
Address: 1206 Bell Avenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No 772 465-2363
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail foes@usa.com
State or County License EC 13007203
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
Name:
MORTGAGE COMPANY: x___ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: X Not Applicable
Name:
Address:
Address:
City:
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 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 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 attornev before commencing work or recording vour Notice of Commencement.
Signature Owner/ LesseE
STATE OF FLORIDA
COUNTY OF stwoo
a"IX
�-
r as Agent for Owner Signatu of Co tractor/License Holder
STATE OF FLORIDA
COUNTY OF St Lucie
S,wp n to (or affirmed) and subscribed before me of
J7 Physical Presence or Online Notarization
this 17 day of May 2020 by
Joseph E. Herndon Sr.
Name of person making statement.
Personally Known P/ OR Produced Identification
Type of Identification
Produced
(Signature of Nl3tary�
Q01''4� Notary Public State of Florida
Commission No. �: Randolp4*14aniel
y Comm an GG 352355
'4 a Expires 09/0V2023
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 17 day of May , 2020 by
Joseph E. Herndon Sr.
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
(Signature of Notary Public_ State of Florida j
Commission No. Notary Publ� j}ot Florida
—Randolph McDartiel
Z My Commission GG 352355
SUPERVISOR
REVIEW VEGETATION S REVIEW I P EVIEW