HomeMy WebLinkAboutBuilding Permit Application 06/11/2015 09:43 1 ELITE ELECTRIC INC PAGE 01
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r f
Date: 1 `�✓ 7
Permit Number:
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0 Building Permit Application
Planning and Development Services
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: 5704 Cassia Drive
Legal Description: Indian River Estates-Unit 09(Map 34/12N)(OR 549-1905)(OR 552-2500;2312-2556)
Property Tax ID#: 10-0292-000-9 Lot No. 1
Site Plan Name: Block No. 80
Project Name:
Setbacks Front Back: Right Side: Left Side:
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AC Change out- Like for Like- 2.5 Ton Rheem 16 Seer 7 KW
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rr• ,� Oil
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Additionalwor`toe e orme under t ►s permit—c ec a apply:
Z✓ HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
13 Electric E] Plumbing U Sprinklers Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 5050 Utilities: Sewer Septic Building Height:
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Name Grace T.Schmidt Name: John A Pankraz
Address: 5704 Cassia Drive Company: Elite Electric And Air
City: Fort Pierce State:FL Address: 1691 SW South Macedo Boulevard
Zip Code: 34982 Fax: City: Port Saint Lucie State: Fl-
Phone No: 772-882-1166 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@EliteEictdcAndAir.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.
06/11/2015 69:43 1 ELITE ELECTRIC INC PAGE 02
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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:
I certify that no work or installation has commenced prior to the issuance of a permit
St.Lucle 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 your paying twice for
improvements to your prope Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. you intend to obtain financing,consult ' ender o attorney before
commend k or re rdin our Notice of Commencement
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_Signature Ow /Lessee/Agent Signature of ctorjLicense Holder
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STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF r, Lu i!4'L COUNTY OF I, LJt-rte
The fo oing instru was acknowledged before me The forgoing instrument was acknowledged b fore me
this �ay of t�/ _ . 20 L'5--by this ""`h day of June .20 l—by
-1John A Pankraz John A Pankm
(Name of person acknowledging) (Mame of person acknowledging)
{Signature of No ry Public State of Flo ida) {Signature of Nota Public State of Florldh)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of identification Produced Type of identification Produc
Commission No. EES30242 y�14 I AqY LEE LANGFOR mmission No. EE830242 '• M CO(V}Y LEL LANGFOR
��' •*e MY COMMISSION#EES 30 42 ; . MISSION#EE8302
netoher 12-201 EXPIRES OcIphe,29,201
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