HomeMy WebLinkAboutBuilding Permit Application 10/27/2015 16:02 1 ELITE ELECTRIC INC PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �— 1
Date: 10/27/15 Permit Number:�� 1
RECEIVED
Building Permit Application OCT 2 8 2015
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
Address: 13211 S Indian River Drive,Jensen Beach,FL 34957
Legal Description: 9 37 41 N 112 OF THAT PART OF SEC 9 AS IN DBK 49 P 235-LESS RR AND LESS SR 707-(OR 3614679)
Property Tax ID#: 4509-130-0004-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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MEMO- xa'Y � �� 9� *� rY. t wo, t Y� t t ii S•ti�
611
Mn 24iM �b
Replace existing AC system with a new Rheem Ston 15.5seer 7.5kw heater
Additional wor to ene-jurmed under tnis permit—c ec a appy:
MJHVAC — Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric LJ Plumbing Sprinklers lo Generator Roof
Total Sq.Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ $5200.00 Utilities: Sewer USeptic Building Height:
Y
Name Milienbeck Properties LLC Name: John Pankrax
Address:13211 S Indian River DR Company: Elite Electric&Air,Inc
Com; Jensen Beach State:FL Address: 1691 SW South Macedo Boulevard
Zip Code: 34957 Fax: City: Port Saint Lucie State:FL
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: JessicaP@EliteElectricAndAir.com
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.
10/27/2015 16:02 1 ELITE ELECTRIC INC PAGE 03
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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,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 inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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_01ature o n Lessee/Agent Sign re of Cont r ' ense Holder
TATE O ORIDA STATE OF A
COUNTY OF SaintLucia COUNTY sainit-w*
The for,,oing instrument was Wedged before me The forgoing instru e�nt was ckn wiedged ore me
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John Pankm 1 John Pankraz
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Not ry Public-State of Flo da) (Signature of tart'Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificatio Produced Type of Identification Produced
Commission No. ' ( e Commission No.
NANCY Lip
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW R
DATE
COMPLETE
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