HomeMy WebLinkAboutHashem, Johnna permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/11 /21
Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential xx
PERMIT APPLICATION FOR: ELECTRIC
PROPOSED IMPROVEMENT LOCATION:
rlrlro�.-• 161 NF TI If�IIC�1N wGnu :c
Property Tax ID #: 3419-560-0037-000-4
Site Plan Name: HASHEM
Project Name: HASHEM
DETAILED DESCRIPTION OF WORK:
REPLACE, LIKE FOR LIKE 200 AMP METER CAN ONLY, PANEL EXISTING AND GROUNDING
WILL BE SCHEDULED W/FPL
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional workto be performed under this permit —check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters
Electric _Plumbing _Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 1721.39
Lot No. 15
Block No. 77
—Windows/Doors _pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer Septic Buildinr� Hairsht•
OWNER%LESSEE:
CONTRACTOR:
Name JOHNNA HASHEM
Name: JOHN PANKRAZ
Address: 161 NE TUNISON AVE
Company: ELITE ELECTRIC AND AIR
City: PORT ST LUCIE �L
State: _
Zip Code: 34983 Fax:
Phone No. 772-528-3619
Address: 1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE FL
State:
Zip Code: 34984 Fax: 772-340-3702
Phone No 772-340-3797
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is 2500 or mnrP_ a RPfnRnrn n:..+:..,...: �_._.__.____
E-Mail PERMIT@ELITEELECTRICANDAIR.COM
State or County License
can �� �cyuu eu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
,� � . I@q IF;H�: N�: .,,�_.... ICI c:> is Appl it;e:s b l r
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�N�� SNMf�NMN" "�"NTN,E: N�N��,N��:�:• _x .Nat Applicaable
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MO�'1r�A�� COMPA,Ny: �. Not Applirable
Name:
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',Nat Applicable
��4NiFR//� C'��N1f'(RN�C11"4:�ii� A�'N�NN:��4N'T� /\pplicatian is hcre7by made to obtain a'permit: to da the warl< and insi:allation as indicated.
I rertify 1;1•ta9: nca �nrarl< ar irrst:allal:iorr has carnmenced pric:+r to i:ttc� issuancr--� of ;a i7c�rrnit.
SC. Lucie Carant;y males no representrction that is grarrtln�, a pcarmit will aut:harize t,hc permit holder to build the subject structure
which conflic;i:s with any applicable+ I•lomeawners Assnc;i�ation rules bylaws ar and ca�renants that may rtastrict or prohibit: such
strtact.urc7. O�Inase c:onsu t wrth your I-lorneawners Assay„iatian and revrew yor.rr dead Par any restrirtir:7ns which may apply.
In consideration of thF granting of I:his requested pFrmii;, I da hereby a>✓reca thy.+t I �Nill, in all respecl;s, perform the wank
in accordance with tl7e appravc�d plans, the Florida fSuildin�; Codes and Si:. Lucir--. County Amendments.
"I'he following building permi9: a�7plicatians are e>cerr7Kat from undErgaing a full ccancurrency review; roam► additions,
accessary s9:ructures, swimmint; pac7ls, •fences, walls, si�;ra, ,screen rooms and accessory uses to another non-residential use
1tn.49�N�N�INk®94'�� �f'f.'a1 d�Q9�4N®N(EiN�; \fc:ua�rr •B'�ulillaiire �:u R�re.:e�rd a f�IcatP;nz;rrm oaf t'acarturraencc�rraen�t rru«�y resuNt Nn paryirag t�uiGe fc7r
irraNarc;uvr�rr)c;„arols to ycaur� �ara)pr--arty. A Notice t�7F �;;t,>rrtrnencerner►t rr'itast be recorcicad in the public records of St.
I..urir;� f::.c:�aur)�ty and pasted orro the jobsite N:aa::�fore:� 'the first insp'iac:�tion. If yr.7u ir7tend i:o obtain financing, ccansult
uvilh la'�r'oder car an aitarn�ay..bafor_�_cc�mrria�r�c�irti� un�orl< or recc�rdirti�_ycaur Rlatic�: r.��f C;ammencement.
5ignatcarF� a:7r ()� er/ Lessee/C;:arrl;rac:lr�r a,, Agent rrar C)�nrn<�r
S�"A'�'iE C1lE N"Ii..�A'�ii(�/A
CC9�p�N'1f'�4 �iF° S- LJ C r F_
Sworn to (c7r affirmed) ;and subscribed bEfare ma~ of fit._ physical i�re:sence or,______._ _ t:>nlirrc-: nla9:;arization
this la-__. d;.7y of __..----� C. r
__._.__...__....._..._...___., ��_ ZI by
_ sa�r� �4�,�a..�L
IVamem�o9' person making st;at:crne?nt. �.�...,.,.�....�„m,..,m.,_....,..._�..._..._._.._.�_...,.......,....�,�,.�,.,.,m,,,.�„�..._.�..,,�..�.,�.
I�ersanally Knovvn _.�..._._. oR f>raducc�d Identificatlor7 ......._.....___.
Ypc' "ificatian Produced
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(Sf��rnatiaru� c�tary pukalio. Sl:cai:a:� crl' f-la,ri ,a ���M..,�m", """
_-_N�NJe sr-3 y. (sc:•al) tN' 'tee'•• KONNI LENAE DEWnT
Ce:Imrrlis„;IC7r1 Nq. -_ �•� �' �� `4 Notary Public -State of.ciorida
.�� Commission � HH 76573a
�`'�?,'ovA;;�'' My Comm. Expires Dec 70, 2025
• "3onded through National Notary Assn.
RE\/IL""\l1/5 FRUNT It:1NING SUpfFt\/IS!)R f�I.ANS VEGETATION SfA'TURTLE MANGROVE
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