HomeMy WebLinkAboutAPPLICATION.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
1�F", LLLIC4UEll
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: ELECTRIC
PROPOSED IMPROVEMENT LOCATION;
Address: 7250 RESERVE CREEK DR
Property Tax ID #: 3322-601-0016-000-8 Lot No. 15
Site Plan Name: Block No.
Project Name: FARRELL
DETAILED DESCRIPTION OF WORK:
REPLACE LIKE FOR LIKE 200AMP PANEL AND UPDATE MAIN GROUNDING.
FPL REQUIRED
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:
c,Ya
Cost of Construction: $ Z_3L
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ELISE FARRELL
Name: JOHN PANKRAZ
Address: 7250 RESERVE CREEK DR
Company: ELITE ELECTRIC AND AIR
City: PORT SAINT LUCIE State: _
Zip Code: 34986 Fax:
Phone No. 7723024565
Address: 1691 SW S MACEDO BLVD
City: PORT SAINT LUCIE State: FL
Zip Code: 34984 Fax:
Phone No 7723403797
E-Mail: efarrellpsl@hotmail.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
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.
[DESIGNER /ENGI NEER*
--- Not Applicable (MORTGAGE COMPANY: Not Applicable
N a me:
Name:
Addrew
Address:
City:
State: City: State;
Zip: Phone-
Zip: - Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Narne�
Name:
Address:
Address:
City:
City:
Zip^ Phone"
------
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Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do trie work and instaiiation 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 ranting a permit will authorize the permit holder to build the subject structure
which conflicts with an � applicable, Homeownerssocidtion 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
*4-k IA^r ivi n+fnm#3%i hnfeires rnmryiav)rina Vilnrk nr rpcording vour Notice of Commencement.
PG'I I 'A I . �J . N W - .' — . r t�
S-FgnWCure of 90fIctor - or - Owne.-r-BRuilder as applicable
STATE OF FLOR
COUNTY OF
sworn to (or af I firmed) and spbscribed before me of Presence or,_-- Online Notarization
11)
this day of 20112.by
Name of person making statement.
Perso y r Wn Produced Identification
-OR
- roduced T of ld cation
State of Florida)
dYpG MELTEMALPSAGIR
My COMMISSION # GG 9,43933
No-- (Seal)
CornrniS'Sio No
EXPIRES: January 5,2024
�rFOF2u°FF Bonded Thru Notary Public Underwriters
REVIEWS FRONT SUPERVISOR
PLANS PLANS VEGETATION SEA TURTLE MANGROVE
IZONING
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Re.v'10/12/1`1