HomeMy WebLinkAboutAdair, Larry permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/17/22 Permit Number:
"
I. L 4/�f: 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: oyo IN HEAUER CANAL ROAD
Property Tax ID #: 2211-111-0003-000-6
Site Plan Name: WANG
Project Name: WANG
Residential xx
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: -I
BRAND NEW 8 METER MAIN COMBO - NEW ELECTRICAL SERVICE, NEW OVERHEAD RISER, NEW 8 SPACE
METER MAIN WITH BREAKERS AND GROUNDING SYSTEM. WILL BE SCHEDULED WITH FPL
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: I
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: $ 2466.58
Windows/Doors Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LARRY ADAIR / DANNY WANG
Name:JOHN PANKRAZ
Address:595 N HEADER CANAL ROAD
Company: ELITE ELECTRIC AND AIR
City: FORT PIERCE State: !�L
Zip Code: 34945 Fax:
Phone No.917-213-2217
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: 1passionfruit20l9@gmaii.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 EC13006036
„q,u=W, LL111auuLAw1 I ib caw or more, a KtwKUtU Notice oT commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
.FaXM s °
I1 TIC?�1 N LAIV INFORMATI 3� k
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: ) Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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
Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
which conflicts with any applicable
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 with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
accordance
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.
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF Sr w c I F
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this 11 day of 11.4&(k , 20LLby
I k ti 1'"+rflCrt 4 1--
Name of person making statement.
Personally Known OR Produced Identification
_)C__
Type o�Iification Produced
(Signature o Notary Public- State of Florida
KONNI LENAE DEWiTT
;?�•�: Notary Public - State of Florida
N µito �f 3� (Seal) '%t Commission HH 165134
Commission No. . ca; #
My Comm. Expires Dec 10, 2025
9onded through 4atioral4otary Assn.
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