HomeMy WebLinkAboutBuilding Permit Application 10/09/2017 18:47 1
ELITE ELECTRIC INC PAGE 01
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10111/17 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division i
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x "
PERMIT APPLICATION FOR: Electrical
Legal Description: RIVER PARK-UNIT 2-BLK 1 LOT 36(MAP 34/22N)(OR 1031-402)
Property Tax ID#: 3419-510-0036-000-2 Lot N ..36
Site Pian Name: Block o. 1
Project Name: i
Setbacks Front Back: Right Side: Left Side:
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Replace existing 200 amp meter can like for like. install new grounding system.
Additional
,wor to e e Orme uncle; is perm"it.—Check a appy:
HVAC 13 Gas Tank []Gas Piping _Shutters F]Windows/Do rs
ZElectric F�Plumbing r Sprinklers Generator: Roof Roof pitch
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Total Sq.Ft of Construction: So.Ft.of First Floor:
Co1944.00 st of Construction:$ Utilities: Sewer Septic Building.Heigh
Name Ronald Stein Name: John A Pankrax
Address: 615 N.Coconut Ave. Company: Elite Electric&'Air, Inc.
City: Port St.Lucie State:Fly Address: 1.691 SW S Macedo Blvd.
Zip Code: 34952 Fax: City: Port St.Lucie tate:FI
Phone No. Zip Code: 34984 Fax: 772-3 -3702
E-Mail: Phone No. 772-340-3797'
Fill in fee simple Title Holder on next page(if different E-Mail: permit@eliteelectricandair.com
from the Owner listed above) State or County License: EC 13006036
ff value of construction is$2500 or more,a RECORDED Notice of Commencement is,'required.
10/09/2017 18:47 1 ELITE ELECTRIC INC
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DESIGNF_R1..ENGINEER: X Not Applicable MORTGAGE COMPANY: Not Ap licabie
Name: Name:
Address:.. .
Address:
City: State: City: - ;I S te:
Zip: Phone Zip: Phone:
FEE SiMPLE TITLEHOLDER:. Not Applicable BONDING COMPANY: Y Not Ap licabie
Name:_.... . . Name:
Address: Address: 1 1
City: City:
I Zip: Phone: Zip: Phone: 1
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installati n as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
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St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subje structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or rohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may a ply.
in consideration of the granting of this requested permit,I d0 hereby agree that I will,in all respects,perform the wo
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. 1
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-residen i use
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WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying t ice for
improvements to your property.A Notice of Commencement must be recorded and posted on t jobsite
before the first inspection. If you intend.to obtain financing,consult wit nder or an attorney b fore
commencin work ordin our Notice of Commencement.
Signature o ner/Lf-sseeractor as Agent for Owner ignature o tr i/i.icense Holder
STATE OF FLORIDA STATI:OF FLORIDA
COUNTY OF 8AINTLUCIE COUNTY OFaNNTivaE
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged be f re me
this 11�+ day of October ,20J / by this I'd, day of �� 20,Z b
John A Pankm John A Pankraz J
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Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known X• OR Produced Identif ation
Type of identification Type of Identification
Produced Produced
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(Signature of Nota4y Public-State of F{ rids} (Signature of Notary Public-State of Flori a}
Commission No. co20372 p ommission No. GG20372
A CYLEIi LAM)FORD
J hrr co urxstoN#0020172
of EXPIRES:Octobhr 12,2024 gam, BION#0020372
..20-:
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REViEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETI
Rev.812117
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