HomeMy WebLinkAboutBuilding Permit Application 07/02/2015 09:26 1 ELITE ELECTRIC INC PAGE 01
ALL APPLICABLE INFO MUST BE COMPLETED FOR-APPLICATION TO BE ACCEPTED
Date.: 07/02/2015 Permit Number: 0 -
sirs
Building.Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1.553 Fax:(772)462-1578 Commercial Residential x
PERMIT APxPLIIC1"{A'YITIt�VO�'N FOR: t Mechanical
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Address: 9475 S Indian River Drive Fort Pierce, FL 34982
Legal Description: 19/20 36 41 S 100 ft of N 551 Ft of S 1/2 off SE 114 of Sec 19 Lyge of FEC RR and S 100 Ft of N 551 of
Fract Sec 20 with RIP RTS-Less FEC and RD RM?(1.41 AC)(OR 666-1569:900-2708)
Property Tax ID#: 3519-441-0004-000-5 Lot No.
Site Pian Name: Black No.
Project Name: Lois Brown
Setbacks Front Back: Right Side: Left Side:
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AC Change out- Like for Like.- 3 Ton Lennox-16 Seer 10 KW
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Additional worK to be.nertormed un er t is permit-c ec a appy:
✓HVAC Gas Tank QGas Piping _Shutters Windows/Doors .
0 Electric Plumbing 0Sprinklers 0 Generator Roof
Total Sq.Ft of Construction: Scl.Ft.of First((F`'lo�"or:
Cost of Construction:$ 6119.00 Utilities:0Sewer L=.ISeptic Building Height:
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LOIN
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ANN
Name' Lois Brown Name: John A Pankraz
Address: 9475 South Indian 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. Zip Code: 34984 Fax:
E-Mail: Phone No. 772-340-3797.
Fill in.fee simple Title Holder on next page(.if different E-Mail: Laura9@EkteE1ctrlcAndAir.c6ia�
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.
07/02/2015 10:32 1 ELITE ELECTRIC INC PAGE 01
DESIGNERJENGINEER: 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.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 fail to Record a Notice of Commencement may result in your paying twice for
improvements to you�eco�rding
.A Notice of Commencement must be recorded and posted o he jobsite
before the to pecu intend to obtain financing,consult w( er or an mey before
comme n wor o our Notice of Commencement.
4�2 s
S e of w Lessee/Agent Signature o Contrac cense Holder
STATE OF RIDA��� CCOUNTY OF FLORIDA �F, / , ,6�
COUNTY OF c..!/�
The forgoing instrume t was acknowledge fore me The for?oilnng instrument was acknowledged wore me
this day of20 Eby thisl�uay of ..1�1C 20 �S by
1John A Pankraz John A Pankraz
(Name of person acknowledging) (Name of person acknowledging)
L44AU(/ VOL
(Signatu a of N ary Public-State of Flo da) (Signature of Note Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of identification Produced
: !' P NANCY LEE LAN FORD
Commission No. cE830242 ='. &a�jY �; rlrni# ion No. ,: NANCY L
, EXPIRES. r;c.tcf'r �''z'' MYC
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a o N orNrx.cam obw ,.'• EXP1R(=S 2
October 12,201
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Revised 07/15/2014 i407131s3 FlorianNo
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS