HomeMy WebLinkAboutBuilding Permit Application 06/04/2015 16:26 1 ELITE ELECTRIC INC
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:---��-y-� Permit Number: Ls 1 i(d d ()1�:Z I
�L _ RECEIVED
Permit Application
Planning and Development Services JUN--4 2015
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: 6113 Alexandria Circle Fort Pierce,FL 34982
Legal Description.. GROVE S/D BLK E LOT 4(0.12AC)(OR 3611-604)
Property Tax ID#: 3410-503-0141-000 2 Lot No. 4
Site Plan Name: Block No. E
Project Name:
Setbacks Front Back: Right Side: Left Side:
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11
r :�$• fi'S 4 .c4t'� -mak .s.. -{+ b.
AC Change out- Like for Like- 3 Ton Heat pump 5KW Heat Lennox 14 Seer
Additional work toe performed un er t is permit-c ec a appy:
ZHVAC 13 Gas Tank FGas Piping Shutters IDWindows/Doors
13 Electric 0 Plumbing ❑Sprinklers ElGenerator 131100f
Total Sq.Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ 5595.40 Utilities--0Sewer E—]Septic Building Height:
�V':>•ry rkh�: ,3 W' '096.0=11
?il .set, ✓ "* , 27' '{�,, Nw-
Name Jeffrey K Theobald Name: John A Pankraz
Address: 6113 Alexandria Circle Company; Elite Electric And Air
City: Fort Pierce State: FL Address: 1691 SW South Macedo Boulevard
Zip Code: 34982 Fax: City: Port Saint Lucia state: FL
Phone No. 772-521-2822 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-340-3797
Fill in fee simple Title Holder on next page(if different E-Mail: Laurag@EliteEictricAndAlr_com
from the owner listed above) State or County License: CAC1816433
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
06/04/2015 16:26 1 ELITE ELECTRIC INC
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
1 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 Record a Notice of Commencement may result in your paying twice for
improvements to your property. Notice of Commencement must be reco d and pos don the jobsite
before the first i e ion. If u intend to obtain financing,consult w en r ora orney before
commencin rk or recor ' our Notice of Commencement.
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_Signature o er/LSKeeJAgent Signature o on ct / nse Holder
STATE OF FLORIDA STATE OF FLORIDA ;
ta
AlCOUNTY OF Sr, Luct & COUNTY OF �_
The for ng instrument was acknowledged b ore me The forgoing instrument was acknowledged fore me
this lay of �LF; 20 y this 40' day of June .20 /by
`John A Pankraz John A Pank'az
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Not9ky Public-State of Florida .(Signature of Notary Pu ic-State of Florida A) !
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Ea30242 , ;W.A j� eAANCY LE ' i,a •� .'fin Sion No. M83=
I+AY GC}MMISS1.2 k az 630242 - NANCY LEE LANGF
Revised 07/15/2014 ao�`3r��i IRoinntiota rservtee,a'm r4 .." r ,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS