HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/9/21
Permit Number:
�J
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
PERMIT APPLICATION FOR:ELECTRIC
PROPOSED IMPROVEMENT -LOCATION:
Address: 501 COCONUT AVENUE EAST
Residential X
Property Tax ID #: 3419-510-0027-000-6
Lot No.27
Site Plan Name: HINES
Project Name: HINES
Block No. 1
DETAILED DESCRIPTION OF WORK:
COMPLETE 125 AMP SERVICE CHANGE, NEW RISER, METER AND NEW 125 AMP PANEL, UPDATE GROUNDING
CURRENT PANEL IS IN AN ILLEGAL SPOT AND WILL BE RELOCATED APPROX. 3-10 FT. JOB WILL BE
SCHEDULED WITH 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 _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2490.90
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
Name MARY HINES
Address:501 COCOUNUT AVE EAST
City: PORT ST LUCIE State:
Zip Code: 34952 Fax:
Phone No.772-878-1247
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:JOHN PANKRAZ
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 N0772-340-3797
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: Not Applicable MORTGAGE COMPANY: k
Name: Not Applicable
Name:
Address:
Address:
City:
State:
Zip: Phone City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: k Not Applicable
Name:
BONDING COMPANY: x_Not Applicable
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 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 attorney before commencing work or recording
our Notice of Commencement.
Signature Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 'Sr' (,uc IF —
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this I day of Jug.q
20 2 ( by
'jU'+N Pa ,c.t+t
Name of person making statement.
Personally Known �' OR Produced Identification
Type of Identification Produced
(Signature o Notary Public- State of Florida)
Commission No. G� I b S , ............... KONNI t.ENAE DEWITT
;-(Sea I)Notary Public— State of Florida
Commission # GG 166915
Comm. Expires Dec 10, 2021
00110
..... Bonded Through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 0 2