HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/31/21
Permit Number:
¢¢tt IC9i.
I: 443, i. T
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:
,1.],.— 9048 SHOOT (-HIP r'ID(II r-
Property Tax ID #: 3334-501-0192-000-5
Site Plan Name: SALVO
Project Name: SALVO
Residential xx
Lot No.54
Block No. D
J DETAILED DESCRIPTION OF WORK:
INSTALLING TESLA WALL CHARGER IN GARAGE WHICH CONSISTS OF NEW 2 POLE 60 AMP BREAKER,
NEW 60 AMP CIRCUIT RAN IN CONDUIT FROM PANEL TO NEW TESLA CHARGER LOCATION
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: $ 1212.33 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SALVO INVESTMENTS OR DANA SALVO
Name:JOHN PANKRAZ
Address:9048 SHORT CHIP CIRCLE
Company: ELITE ELECTRIC AND AIR
City: PORT ST LUCIE State: I'L
Zip Code: 34986 Fax:
Phone No.561-628-6167
Address:1691 SW SOUTH MACEDO BLVD
City:PORT ST LUCIE
State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No772-340-3797
E-Mail:DANA—SALVO@YAHOO.COM
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 EC16006036
a.cII—II ,a reyulreu.
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
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: G-- Not Applicable
Name:
Address: _
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
L.Ity: State:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City:
Zip:
Phone:
Not Applicable
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 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 attnrnpxi hofnro
- - — -1- �........ ---- --� wUrK or recording our Notice of Commencement.-
Signature of 0 er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Sr L,4j c F_
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this 31 day of OJCFP,48F,L.
Zp Z( by
5-0H-0 ('fir c tL4 2-
Name of person making statement.
Personally Known _ )c— OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
dh
KONNI LENAE DEWITT
Commission No. I"IM ��Yi 37 (Seal) Notary Public -State of Florida
Commission 4 HH 165134
oFr°o- My Comm. Expires Dec 10, 2025
3onded through Natior•al Notary Assr,
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