HomeMy WebLinkAboutBuilding Permit Application I1f12t2017 11:28 1 ELITE ELECTRIC INC PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11114/17 Permit Number:
1INOVI
VED
Building Permit Application 2017
Planning and Development ServicesBuilding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Electrical
Address: 2225 NW Seagrass Drive Palm City,Fl. 34990
Legal Description: HARBOUR RIDGE-PLAT 10-FAIRWAY VILLAGE UNiT 11 (MAP 44/265)(OR 1962-2919; 987-1786)
Property Tax ID#: 4426-805-0011-000-1 Lot N .
Site Plan Name: Galoci Block o.
Project Name:
Setbacks Front Back: Right Side: Left Side:
� } t
Change out rusted underground riser pipe to meter. Upgrade grounding system to code. F L
disconnect reconnect.
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Additional work toe e orme un er.t is permit—c.ec a appy:
HVAC El Gas Tank E]Gas Piping _Shutters Q Windows/Da s
�✓ Electric El Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: So. Ft.of First Floor:
Cost of Construction:$ 1859.00 Utilities:[]Sewer Septic Building Height
Name Robert A Galoci(TR)(EST) Name- John A Pankraz
Address:2225 NW Seagrass Drive Company: Elite Electric&Air, inc.
City; Palm City State:Fl_ Address: 1691 SW S Macedo Blvd:
Zip Code: 34990 Fax: City: Port St.Lucie ate:FI
Phone No. Zip Code: 34984 Fax: 772-34 .3702
E-Mail: Phone No. 772-340-3797
Fill in fee simple Title Holder on next page 1 if different E-Mail: Permit@eiiteelectdcandair.com
from the Owner listed above) State or County License: EC 13006036
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 1
11/12/2617 11:34 1 ELITE ELECTRIC INC PAGE 61
r
DESIGN ERANGiNEER: x Not Applicable MORTGAGE COMPANY: Not plicable
Name:
Name:_
Address: Address:.
City: — State: City:_ tate:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Nat Applicable BONDING COMPANY: Not AF plicable
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 installati n 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 subje t 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 do hereby agree that 1 will,in all respects,perform the wo
in accordance with the approved plans,the Florida Building Cortes 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-resident I use
WARNING TO OWNER:Your failure to Recorda 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 th jobsite
before the first inspection. if you intend to obtain financing, consult with lender or an attorney b ore
commencing w r recording our Notice of Commencement.
Signatu caner/Less Contractor as Agent for Owner SlIgnant o
re of Cor/License Holder
STATE OF FLORI STATE OF FLORIDA
COUNTY OF SAINTLUCIE COUNTY OFSAINTLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknawledgedbefa me
this 14TH day of NOVEMBER 20 (�,by this iaTH day Of NovEMSER 20 by
JOHN A PANKRAZ JOHN A PANKRAZ
Name of person making statement Name of person making statement
Personally Known x. OR Produced Identification Personally Known x OR Produced Identificz.ion
Type of Identification Type of Identification
Produced Produced
A1414, '`y"� ..�
(Signature of Notdry Public-State of Florid (Signature i 1�.
of Not ry Public-State of Flori ' )
Commission No. Gozas72 eug� 1 j Lhwolw Commission No. oo2as72 {Seal
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION T VE
COUNTER. REVIEW REVIEW REVIEW REVIEW REVIEW
' Q
DATE
RECEIVED
DATE
ICOlV1PLETEDT__1__...._.,_'1
Rev.8/2/17