HomeMy WebLinkAboutBuilding Permit Application 08/17/2015 09:19 1 ELITE ELECTRIC INC PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED 22
Date: 08/17/2015 Permit Number: I� J
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: Electrical
Address: 5109 Deer Run Drive Fort Pierce, FI. 34951
Legal Description: Holiday Pines S/D-Phase lil-Lot 444(Map 14/18N)(OR 3593-1411)
Property Tax ID#: 1313-5020021-000-8 Lot No.444
Site Plan Name: Block No.
Project Name:.Breckenridge
Setbacks Front Back: Right Side: Left Side:
Replace 200 amp panel , like for like.
11Nr.
1�am I OMEN=
itiona wor to e e orme un er is permit—Check a appy:
HVAC 0 Gas Tank ❑Gas Piping _Shutters F.�Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 1189.00 Utilities Sewer Septic Building Height:
t
Name David E.Breckenridge Name; John A.Pankraz
Address:8109 Deer Run Drive Company: Elite Electric&Air,Inc.
City: Fort Pierce State:Fl Address: 1691 SW S Macedo Blvd.
Zip Code: 34951 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.com
from the Owner listed above) State or County License: EC13006036
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
88/27/2015 09l9 l
' ELITE ELECTRIC INC PAGE 04
M, I ffmM_ OEM
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X NotApplicable
Name: TName:
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.LuciejCounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conTliCt 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 Notice of Commencement must be recorded and posted on the jobsite
before the first 1%pelion. If yoLj4fitend to obtain financing,consult wit e or an attorney before
commencing work or jecordir%eyour Notice of Comm cement.
STATE OF FLORID STATE OF FLORIDA
COUNTY OF St.L.d� COUNTY 0 ST.L.de
AV
The forgoing instrument was acknowledgej,�afore me The forgoing instrument was acknowledged before me
this 1111tay of AU(p til! 5-by this 111h day of-Au-qua' 20 by
20 L
John A.Pankraz John A.Pankraz
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notaf Public-State of F1 ida) (Signature of Nol#ry Public-State of 1`41ord )
Personally Known x R_Produced Identification Personally Known x R Produced Id ntification
Type of identification Prod :e4 -Tyl le of Identification Prodi
E PIRES October 12,2016
EXPIRES October 12,2016
-1 0- 407)398-0183 Flohdallotwlorvlaecorn
(401)3984183__
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS