HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To HE ACCEPTED
Date; 10/05/2015
Permit Number:
RECER"77D OCT 0 5.2015
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
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Address: 801 S.33rd Street
Legal Description: 17 35 40 BEG AT INT OF S W/W Lf OF PETERSON RD AND W R/W Ll OF 33 ST,TH RUN S 165 FT,TH W 200 FT,TH N
165 FT.TH E 200 FT TO POB(22)(0.76 AC)(OR 3772-102)
Property Tax lD#: 2417-211-0003-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Moore
Setbacks Front Back: Right Side: Left Side:
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Installing new meter, riser and grounding on existing 125 amp panel,
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Additional wor to orme
HVAC Gas Tank RGas Piping itters F]Windows/Doors
Plumbing OSprinklers Generator DRoof
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Total Sq.Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ 2463.0 Utilities:0Sewer Fheptic Building Height:
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if value of construction is 0-560—or m-o-r-e—,a RECORDED Notice of is required.
____10/05/2015 10/14 1
ELITE ELECTRIC INC
PAGE 03
'
NGINEER- x Not Applicable
Name: MORTGAGE COMPANY: x Not Applicable
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.LucieCoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conlyfict 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
impr ovements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first iDApe4ion. Ifli0ou intend to obtain financing,consult witbJenkr or��ney before
commencingx&k orkecording your Notice of Commencement.
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Signatur�e`oOvKer/Lessee/Agent Signature bf���r
tVense Holder
STATE.OF FLORIDA STATE OF FLORIDA
COUNTY OF st.Lurie COUNTY OF st.Lurie
The for oing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
John A.Pankraz John A.Pankraz
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Not#y Public-State (Signature of NotaIPublic-State of F1
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. EES30242 mission No. EE830242
VJL My COMMISSION#EF-8312421
EXPIRES October 12 2016 EXPIRES October 12,
Revised 07/15/2014 (407;3198-0153 407)3"-0183 IFIO No ys rvk. 201S
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS