HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/24/21 Permit Number:
n r L i 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:ELECTRIC - SERVICE CHANGE
PROPOSED IMPROVEMENT LOCATION:
Address: 5619 SILVER OAK DRIVE
Property Tax ID #: 3402-607-0181-000-8 28&29
Lot No.
Site Plan Name: HARRIS Block No. 20
Project Name: HARRIS
DETAILED DESCRIPTION OF WORK:
EMERGENCY SERVICE CHANGE, WILL BE SCHEDULED AS EMERGENCY ON THURSDAY (8/26) W/FPL
REPLACE, LIKE FOR LIKE, 200 AMP PANEL AND UPDATE THE MAIN GROUNDING SYSTEM
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: $ 2463.33 Utilities: _ Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name DORIS HARRIS
Name:JOHN PANKRAZ
Address:5619 SILVER OAK DRIVE
Company: ELITE ELECTRIC AND AIR
City: FT PIERCE State: AL
Address:1691 SW SOUTH MACEDO BLVD
Zip Code: 34982 Fax:
Phone No.502-612-9913
City: PORT ST LUCIE State: FL
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 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.
DESIGNER/ENGINEER — Not Applicable---T
Name: _
Address:
City: —
Zip: ____
Phone
FEE SIh4lPLE TITLE HOLDER:
Name:
Address:
City: -----
Zip: __ Phone:
n�M�n�rn I rr�w rr r. w
State
k Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: k Not Applicable
Name: _
Address:
City: -
Zip:
Phone:
-- -• •�^r I n r,rriuvr r : 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 hiefnrP ct-)nn lPnrina AA,nrls „r r-,-,rl;v.... ..H +:-- --
u 'b vur ruuuLC ur Cuiniilencement.
Signature of Ow r/ Lessee/Contractor
as Agent for Owner
STATE OF FLORIDA
COUNTY OF Sr LUC tE
Sworn to (or affirmed) and subscribed before me of X Physical Presence
this ZJ_ day of _ gt, uSf 20-4 by
or Online Notarization
`—
Name of person making statement..
Personally Known X OR Produced Identification
y �entification Produced
(Signature of Notary Public- State of Florida) ;•,�,;. ';.;;,,.
KONNI LENAEDEWITI
o
Notary Public — State of Florida
Commission No. G(t 1110 HS (Seal) fill li
:
Commission #GG166915
.
rA CommEx firsDe10,2021
bonded through National Notary Assn.
y
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