HomeMy WebLinkAboutHines Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/24/21 Permit Number:
L Q U �!
v
S �`0 S� � Building er it Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: MECHANICAL
Address: 501 COCONUT AVENUE, PORT SAINT LUCIE, FL 34952
Property Tax ID #: 3419-510-0027-000-6
Site Plan Name: HINES, MARY & CHARLES
Project Name: HINES, MARY & CHARLES
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New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
�'" Me•cffanical _ Gas Tank Gas Piping _ Shutters Windows/Doors Pond
— —
�Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5,762.00 Utilities: _ Sewer _ Septic Building Height:
Name MARY HINES
Address: 501 COCONUT AVE
City: PORT ST LUCIE State: _
Zip Code: 34952 Fax:
Phone No. 772-878-1247
E-Mail: NO EMAIL AVAILABLE
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: JOHN PANKRAZ
Company: ELITE ELECTRIC AND AIR
Address: 1691 SW SOUTH MACEDO BLVD
City: PORT SAINT LUCIE State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No 772-340-3797
E-Mail PERMIT@ELITEELECTRICANDAIR.COM
State or County License CAC1816433 & EC13006036
11 Va1uc u1 wnbl.ruuion ist, z3vu or more, a KtVKutU Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:_
Address:
City: —
Zip:
Phone:
State:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
w —ml-gee .,vav i rtw%, i un wrriuvt' :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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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
with lender or an attornev befnrp cnmmpnrinu %Amrle nr rnrnrrlina ,,,,,,r Nin+;, ,, ,,.r r,, _a
vrr11IICIIt.C111Cl11.
Signature of Owner/ Leis ee/Contractor as Agent for Owner
STATE OF FLORID
Signature of Cont/r� or/License Holder
STATE OF FLORI ' A
COUNTY OF SAINTLU IE
COUNTY OF SAI LUCIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Presence or Online Notarization
this 24TH da of MAY this
y �2' by
this 24TH day of MAY 020 by
gj
JOHN PANKRAZ
JOHN PANKRAZ
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification—_.
Type o�Ldentific-ation-�
Produced'"
fP"o duced
KONNI LENAE DEWFlorid
a.
.``"„Y�F KONNI LENAE DEWITT
(Signature of Notary Public- �o "lzla ommission#GG16691
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of Notary Pu i�'r��
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Dec 10, 2021(mmission No. GG16691 fibonded lkMppR
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