HomeMy WebLinkAboutOak Leaf or Kishk, Nabil permit app.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
nnto- 12/2/21
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 Residential xx
PERMIT APPLICATION FOR: ELECTRIC
PROPOSED IMPROVEMENT LOCATION: _
Address: 3103 KINGSLEY DRIVE
Property Tax ID #: 1432-807-0028-000-9
Site Plan Name: OAK LEAF PARK
Project Name: KISHK, NABIL
DETAILED DESCRIPTION OF WORK:
Lot No. 270
Block No.
COIRRECTING CODE VIOLATIONS FOR WORK THAT WAS NOT PREVIOUSLY PERMITTED.FPU HAS PULLED CUSTOMERS METER.
WE ARE UPDATING THE MAIN GROUNDING TODAY AS EMERGENCY AND WILL BE CONTACTING FPU TO RESTORE
CUSTOMERS POWER TO HOME ONCE CORRECTIONS HAVE BEEN MADE TODAY
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:
Cost of Construction: $ 1537.26
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name OAK LEAF PARK LLC OR KISHK, NABIL
Name: JOHN PANKRAZ
Address: 3103 KINGSLEY DRIVE
Company: ELITE ELECTRIC AND AIR
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City: FORT PIERCE State: rL_
Zip Code: 34946 Fax:
Phone No. 954-554-8525
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)
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E-Mail PERMIT@ELITEELECTRICANDAIR.COM
State or County License
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If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
W11 ,•,Ulu V i , ; Hpp,icavon is nereby 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 hpfnra rnmmon�inn ,., I, _.._
,, u, ,��,�,,u,,, uunvotice orc.ommencement.
Signature of ner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Si L,Uc cF_
Sworn to (or affirmed) and subscribed before me of
this Z dayof_ 2011 by
Physical Presence or Online Notarization
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Name of person making statement.
Personally Known K OR Produced Identification
Type of Identification Produced
(Sign atu o Notary Public- State of Florida)
Commission No. �� lost 3y (Sea]'••:
A
KONNI LENAF TT
Notary Public •StFlorida
"�� o Commission # HH 165134
My Comm. Expires Dec 10, 2025
Bonded through National Notary Assn,
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