HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/18/21
Permit Number:
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: 140 BALSA ROAD
Property Tax ID #: 1408-701-0019-000-3
Site Plan Name: BARRS
Project Name: BARRS
Residential xx
Lot No. 13, 14, 15
Block No. B
DETAILED DESCRIPTION OF WORK:
REPLACE, LIKE FOR LIKE, 100 AMP METER, RISER, WIRE AND UPDATE MAIN GROUNDING SYSTEM
TREE FELL ON OVERHEAD SERVICE, JOB WILL BE SCHEDULED WITH FT PIERCE UTILITIES
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: $ 2473.45 Utilities: —Sewer —Septic BuildinLy Height-
OWNER/LESSEE:
CONTRACTOR:
Name JAMES BARRS
Name: JOHN PANKRAZ
Address: 140 BALSA ROAD
Company: ELITE ELECTRIC AND AIR
City: FT PIERCE State: 6'i-
Zip Code: 34946 Fax:
Phone No. 772-332-7215
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:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is 2500 or more- a RFrnanFn ni.,+,,.,, ..o
E-Mail PERMIT@ELITEELECTRICANDAIR.COM
State or County License EC13006036
I.- a lw4ulleu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER%ENGBNEER: r:
Name:
Address:
City: ---
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:,._—__
Zip: Phone:
Not Applicable
State:
_ )c Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: — Phone:
BONDING COMPANY-:
Name:
Address: --- ----
City:
Zip: — — Phone:
?� Not Applicable
State:
)� Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: —Applicatio-
n is hereby ma e 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 an restrictions which may apply.
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In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, ywork
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.perform the 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 inspection. If you intend to obtain financing, consult
with lender or an attorney_before commencl� wor= recording your Notice of Commencement.
Signature of O �Orl�Le';,/(:aac---ntr-tor as Agent for Owner
STATE OF FLORIDA
COUNTYOF— Sr VUC(��
Sworn to (or affirmed) and subscribed before me of
this _ 1 -Aday of _ -_ UCfp6Fn 20 Z( b --.__-Physical Presence or Online Notarization
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�504N ParicAA y
Name of person making statement.
Personally Known k OR Produced Identification
Type of Identification Produced
(Signature. o^Notary Public- State of Florida )
Commission No. R*(b5(5v :� `e' KCINNILENAEDEWITT
— —__ (Sea 1): - Notary Public - State of F;orida
�r Commission # HH 165134
F h?: My Comm. Expires Dec 10, 2025
3ondea through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIONESEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEWDATE- - -- ---- --- REVIEW
RECEIVED_
COMPLETED