HomeMy WebLinkAboutDellechiaie, Bruce permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/12/22 Permit Number:
tir oL`. CIt '
BuiWng Permot 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
Residential xx
PERMIT APPLICATION FOR:ELECTRIC - SERVICE CHANGE
PROPOSED IMPROVEMENT LOCATION:
Address: 263 NETTLES BLVD
Property Tax ID #: 45002-501-0449-000-0
Site Plan Name: DELLECHIAIE
Project Name: DELLECHIAIE
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
REPLACE, LIKE FOR LIKE, 150 AMP PANEL, REPLACE METYER MAIN AND UPDATE MAIN GROUNDING
WILL BE SCHEDULED W/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 _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2494.73 Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name BRUCE DELLECHIAIE
Name:JOHN PANKRAZ
Address:263 NETTLES BLVD
Company: ELITE ELECTRIC AND AIR
City: JENSEN BEACH State:VL-
Zip Code: 34957 Fax:
Phone No.603-235-6414
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:BUILDERBRUCE@COMCAST.NET
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
If value of construction is 2500 or more, a RECORDED 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:
Name: _
Address:
City:
Zip:
Phon
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
)— Not Applicable I MORTGAGE COMPANY: x Not Applicable
Name:
State
Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: �c Not Applicable
Name:
Address:
City:
Zip: Phone:
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
h 1 d ttorne before commencin work or recordin our Notice of Commencement.
wlt en er or an a
a-4 �'
Signature of Con ctor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF Sr V V C i
Sworn to (or affirmed) and subscribed before me of _ c�
Physical Presence or Online Notarization
this I L day of 1-41'd*t''l , 20 Z2-by
Name of person making statement.�,(pNNI
LENAE DEwITT
iri lee; .
• :. Notary Public - State of Florida
Personally Known �OR Produced Identification
Commission # HH 165134
'
T ification Produced
My Comm. Expires Dec 10, 2025
IL
3orced through National Notary Assn.
(Signature of Notary Public- State of Florida) rM '�e'
KONNi LGNAE Dc✓+(IT
;
Notary Public - State of Florida
Commission No. �+r��5f 3y (Seal) p Commission>t�1H 165134
3crce- .. _
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Rev 10/12/L1