HomeMy WebLinkAboutGreene, Jeff permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/28/21
Permit Number:
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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 Residential xx
PERMIT APPLICATION FOR: ELECTRIC - PANEL CHANGE
PROPOSED IMPROVEMENT LOCATION:
Address: 9945 PERFECT DRIVE
Property Tax ID #: 3327-703-0092-000-2
Site Plan Name: GREENE
Project Name: GREENE
DETAILED DESCRIPTION OF WORK:
REPLACE, LIKE FOR LIKE, 125 AMP PANEL, NO FPL REQUIRED
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
X Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 2475.11
OWNER/LESSEE:
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors _ Pond
_ Roof Pitch
Utilities: _ Sewer _ Septic
Name JEFF GREENE
Address: 9945 PERFECT DRIVE
City: PORT ST LUCIE
State: _
Zip Code: 34986 Fax:
Phone No. 561-414-6769
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Building Height:
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 No 772-340-3797
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:
DESI
GNER/ENGINEER:
Name:
Address:
City:
Zip: Phon
FEE SIMPLE TITLE —HOLDER:
R:
Name:
Address:
City:
Zip: Phone:
Applicable
State:
k Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Address:
City:
Zip: -_— Phone:
_State: —
BONDING COMPANY:
X Not Applicable
Name:
Address:
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
structure. Please consult with your Home Owners Association and review our deed for an Y pp restrictions which may apply.
perform th
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, or prohibit such
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.e work
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 inspectio
with lender or an attorne before commencingn. If you intend to obtain financing, consult
work or recordin our Notice of Commencement.
Signature caner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF_ Sr Uu< (K
Sworn to (or affirmed) and subscribed before me of
this VY day of _ S ¢t'r' , 20" 1 b
— Y
d Pl�-d(c n
Name of person making statement.
Personally Known.,LC OR Produced Identification
Type of Identification Produced
(Signature o otary Puhlir- 1,tato f
J
k_ Physical Presence or Online Notarization
Commission No.
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Seal
(Seal)
LENAE DEWITT
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Notary
ry Public -State of=lorida
Commission # HH 1651.34
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My Comm. Expires Dec 10, 2025
3orled through National Notary Assn,
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