HomeMy WebLinkAboutBuilding Permit Application 09/04/2015 15:25 1 ELITE ELECTRIC INC PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/04/2015 �, JQd) -
Permit Number: v
J 1 .
ECEIVT
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Building Permit Application
_-Planning and Development Services SEP 4 2015
Building and Cade Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ;
0
Phone:(772)462-1553 Fax: (772)462-1578 Commercial R"dential x
PERMIT APPLICATION FOR: Electrical
Y
Address: 8004 Fort Walton Avenue
Legal Description: Lakewood Park-Unit 6-Blk 63 Lot 2(Map 13/02S)(OR 929-1950)
Property Tax ID#: 1301-606-0110-000-1 Lot No.2
Site Plan Name: Block No. 63
Project Name: Garman
Setbacks Front Back: Right Side: Left Side:
MEN emms. -b
Replacing 150 amp main breaker panel with 150 amp. main breaker panel
Additional work toe e orme under this permit—check a appy:
HVAC 11 Gas Tank ❑Gas Piping OGenerator
Shutters Windows/Doors
ZElectric 0 Plumbing Sprinklers FIRoof
Total Sq. Ft of Construction: S�of First Floor:
Cost of Construction:$ 2000.00 Utilities: Sewer Septic Building Height:
F
Name Kevin Garman Name: ,John A.,Pankraz
Address:8004 Fort Walton Avenue 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 Halder on next page(if different E-Mail: NancyL@EliteElectdcAndAir.com
from the Owner listed above) State or County License: EC 1306036
If value of construction is$2500 or more,2 RECORDED Notice of Commencement is required. 1'�
09/04/2015 15:25 1 ELITE ELECTRIC INC PAGE 03
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 thepermit 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,scree rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a ice of Commencement may result in your paying twice for
improvements to your property.A Notice ommencement must be recorded and posted o jobsite
before the first inspectio If you inten obtain financing,consult wit a or an a ney before
commencin work o co din you otce of Commencement.
s
_Signature of wnee t Signature of on r I se Holder
STATE OF FLORIQ STATE OF FLO A
COUNTY OF saint Lucie COUNTY OFsaintLucie
The forgoing instrWent was acknowledged before me The forgoing instrument was acknowledged b fore me
this ` i day of �7�it 6PC , 20 ISby this 41h day of September 20 ��by
John A.Pankrez John A.Pankraz
(Name of person acknowledging) (Name of person acknowledging)
(Signature of otary Public-State I
Florida) (Signature of NotaryPublic-State of Florida
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produc Type of Identification Produced
;;�' , NANCY LEE LANGF fission No. = YP �Y LEE LANGFOR
Commission No. EE830242 -4 w EEB30242
W6 MISSION#EE8 0242 = MY COMMISSION#EE830
EXPIRES October 1 EXPIRFq
0153 FlordnMoWryService,com 407)396.0163 FloridaNOU"Sorvice.com
Revised 07/15/2014
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