HomeMy WebLinkAboutBuilding Permit Application 07/30/2015 16:20 1 ELITE ELECTRIC INC PAGE 03
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ABL INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
t Permit Number:-A S01- 0 G1
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kECEI'.'�D JUL 312015
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
12
Address: 2200 Elizabeth Avenue
Legal Description: FLEETWOOD ACRES BLK 2 W 15 FT OF LOT 17 AND ALL LOT 18(0.22AC)(OR 769-2654)
Property Tax ID#: 2428-604-0032-010-0 Lot No.
Site Plan Name: Block No. 2
Project Name: DIXON
Setbacks Front Back: Right Side: Left Side:
r
Replace AC , like for like . Rheem 2.5 ton 14 seer, 7.5 kw
Additional work to be performed under tispermit-check a appy:
Z✓HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric Plumbing ❑Sprinklers 11 Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 6485.00 Utilities:In Sewer Septic Building Height:
Name Thomas Dixon Name: John A.Pankraz
Address:2200 Elizabeth Avenue Company: Elite Electric&Air, Inc.
City: Fort Pierce State:Fl Address: 1691 SW S Macedo Blvd.
Zip Code: 34982 Fax: City: Port St. Lucie State:FI
Phone No. Zip Code: 34984 Fax: 772-340-3702
E-Mail: Phone No. 772-340-3797
Fill in fee simple Title Holder on next page(if different E-Mail: NancyL@EliteElectricAndAir, Inc.
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.
07/30/2015 16:20 1 ELITE ELECTRIC INC PAGE 04
x
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.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 your paying twice for
improvements to your property. A N e of Commencement must be r le and posted on the jobsite
before the ' in pection. If yo ' end to obtain financing, consu ith lend or an a ey before
comme n Wor or recordi our Notice of Commencement
s
_Sig Lessee/Agent Sign a nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL Lucie COUNTY OF Sc.Luce
The forgoing instrument was acknowledged fore me The forgoing instrument was acknowledged ore me
this�ay of 20 �by this 30 day of July .20 f by
John A Pankruz John A Penkm
(Name of person acknowledging) (Name of person acknowledging)
gIA14 & I 4z_
amu_
(Signature of N ry Public-State of Flor a) (Signature of Nota Public-State of Florida
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produce T e of Identification Produced
.-- NANCY LEE LANG ORD ,�`''�hYb�
Commission No. EE830242 = )COMMISa^ION#EE ission No. EEssa2a2 :; ' @II¢Y LEE LANGFOR
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS