HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/30/21 Permit Number:
S`I..0 L ' iL
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:ELECTRIC
PROPOSED IMPROVEMENT LOCATION:
Address: 112 NORTH LAS OLAS DRIVE
Property Tax ID #: 4511-500-0016-000-1
Site Plan Name: FREIHOFER / BEACH HOUSE
Project Name: FREIHOFER / BEACH HOUSE
DETAILED DESCRIPTION OF WORK:
REPLACE, LIKE FOR LIKE, 125 AMP PANEL, DOES NOT REQUIRE FPL
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
✓Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 2485.58
Sq. Ft. of First Floor:
Residential X
Lot No._
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name BEACH HOUSE OR KATHLEEN FREIHOFER
Name:JOHN PANKRAZ
Address:112 NORTH LAS OLAS DRIVE
Company: ELITE ELECTRIC AND AIR
City: JENSEN BEACH State: t,
Zip Code: 34957 Fax:
Phone No.561-373-9770
Address:1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone N0772-340-3797
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail PERMIT@ELITEELECTRICANDAIR.COM
State or County License EC13006036
n venue or construction is zsuu or more, a KtCUKutD 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:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: _
Address:
City:
City:
Zip: Phone:
Zip: Phone:
niAnurD1rnBITDAf-r^n ArrIM11 _ .
— -- •-•-1 • r+rr,vvi i : Hppncarion 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 hpfnrP rnmmanrino ,e,r,rL nr --A;- _r ___.__ _ __ _ -
----------......••••••• .....••.v• • IF; vUi INUUL.CUI%.ARFutiericement.
Signature of ner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF S' U U C- Lf_
Sworn to (or affirmed) and subscribed before me of k
Physical Presence or Online Notarization
this $u day of_ r4a,,/ 20 72 by
J��r N P.4Nic.n-�9-'L
Name of person making statement.
Personally Known A— OR Produced Identification
Type of ntification Produced
(Sign atur otary Public- State of Florida)
Seal
Commission No.( ) r°^`
KONNI LENAE DEW17
Notary Public - State ofCommission
# HH '65134
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My Comm. Expires Dec 10, 2025
Bonded through National Notar! Assn.
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