HomeMy WebLinkAboutBUILDING PERMIT APPLLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/22/22
Permit Number:
44, -
L- n-,
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
L PROPOSED IMPROVEMENT LOCATION:
Address: 10102 S OCEAN DRIVE, UNIT #208-A
Property Tax ID #: 4502-802-0015-000-3
Site Plan Name: MACDONALD
Project Name: MACDONALD
DETAILED DESCRIPTION OF WORK:
ADDING 2 NEW CIRCUITS FOR WASHER AND DRYER
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
JC Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2399.52
OWNER/LESSEE:
Name KRISTEN MACDONALD
Address:10102 SOUTH OCEAN DRIVE #208-A
Residential xx
Lot No.
Block No.
Windows/Doors Pond
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer —Septic Building Height:
City: JENSEN BEACH
State: _
Zip Code: 34957 Fax:
Phone No . 508-450-1984
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
f value of construction is 2500 or merp_ a RFrnanrn
CONTRACTOR:
Name:JOHN PANKRAZ
Company: ELITE ELECTRIC AND AIR
Address:1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No772-340-3797
E-Ma i I PERMIT@ELITEELECTRICANDAI R.COM
State or County LicenseEC13006036
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is requireduirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:
Name: Name:
Address: _
City: Address:
State: City:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
Name:
Address:
Name:
City:
Address:
Zip: Phone:
City:
Zip: Phone:
Ao Not Applicable
State:
k 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 attorney before commencing work or recording our Notice of Commencement.
(/r
Signature of C ntractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF 3 it tJ1 P is R.4 Z
Sworn to (or affirmed) and subscribed before me of
_X Physical Presence or Online Notarization
this 22 day of ;-- Ea , 20 Ztby
.1 4tr A+ff 4-i
Name of person making statement
Personally Known X _ OR Produced Identification
Type of Identification Produced
(Signature o Notary Public- State of Florida)
Commission No. R1ki(v5"13y (Seal) ;� r��e:,. KONNILENAEDEW7
Notary Public - State of Florida
Commission. ; HH 165134
My Comm. Expires Dec 10, 2025
3orded through National Notary Assn.
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DATE
COMPLETED
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