HomeMy WebLinkAboutPermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
CBDG Funding
PERMIT APPLICATION FOR: WILLIAM ESHLEMAN
PROPOSED IMPROVEMENT LOCATION:
Residential YES
Address: 1736 PONDBERRY LANE PORT ST LUCIE, FL 34952
Property Tax ID #: 3426-703-0162-000-8 Lot No. 148
Site Plan Name: Block No.
Project Name: BILL ESHLEMAN
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING GENERATOR WITH NEW GENERATOR
New Electrical Meter
Second Electrical Meter
(Affidavit required)
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
— Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction. $ 7,896.20
X Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WILLIAM ESHLEMAN
Address: 1736 PONDBERRY LANE
Name: GEORGE G SANCHEZ IR
Company: EXCEL ELECTRIC LLC
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax;
Phone No. 772-812-7504 E-
Address: 8241 BUSINESS PARK DR
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No 772-529-1091
E-Mail�EXCELOFFICE77@GMAIL.COM
Mail: BILLESHLEMAN@YAHOO.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License EC 13006483
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 LAIN INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone
State
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
State:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY., _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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 an 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 the jobsite before the first inspection. If you intend to obtain financing, consult
with fender or-n attorn before-commencinL, work or recording your Notice of Commencement.
Z"
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF ST LUCIE
Sworn to (or affirmed) and subscribed before me of X
Physical Presence or Online Notarization
this day of IZ,12CcA - (/ 20 22 by
L
Name of p rson making statement.
Personally Known X OR Produced Identification
Notary Public State & Flonda
�`�' , Ashley Simlamany
Type of Identification Produced
My Commission GG g4g316
Expireso211612624
(Signature of Notary Public- State of Florida)
Commission No. GG 946316 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/3.2/21