HomeMy WebLinkAboutBuilding Permit Application 10/29/2015 14:28 1 ELITE ELECTRIC INC PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10 Permit Number:_�510
' - -. RECEIVED OCT 30 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
PERMIT APPLICATION FOR: Mechanical
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Yb fi a
Address: 13207 S Indian River Drive,Jensen Beach, FL 34957
Legal Description: ""'BEGATMONDILYRNI OF NlDIMH 1420FTSLY OF NSDRY OF RW9.TN RUN SWLY 150F MI NWLY70FT.TH SWLY 550 FTMILTO ELYRIN FEE RR,TO SELYALG SO RAN 3MFTMA_THNELY RWRM NUAND300 FTS
ANG405 Fr&VLTH MNLYTO FF,TO NELV ZIOFTMLTOWLYRANXOF(NO RN,TO MEANDERING SO RIVNWLY 100 FTLVLTOPE LYG NELVOF POR,TO SWLY90 FT MATOp033 LESSSR 707-(0X42&4190:1283-1992:1283.1999:14931700;=T 1394:3735.1005)
Property Tax ID#: 4509-120-0012-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
u s 7 I t N n3-`� y1��i�ils y,,3 -�,p �+ r;,s4 5.3..,;;` Jxh `e�� u5 •'^�°` �;
Replace existing AC system with a new Rheem 2.5ton 15.5seer 7.5kw heater
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W- 0
Additional work to be nertormed under this permit—check all apply:
0HVAC Gas Tank F]Gas PipingShutters Q Windows/Doors
nGenerator
Electric Plumbing ElSprinklers Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ $4600.00 Utilities: Sewer OSeptic Building Height:
Name Audry Rollins Name: Jahn Pankra2
Address:13207 S Indian River DR Company: Elite Electric&Air,Inc
City: 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.
10/29/2015 14:28 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,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.
s
ignr0FCFLORIDA
f Owner/Lessee/Agent Si ture of or/License Holder
STA STATE OF FLORIDA
COUNTY OF selntwd- COUNTY OF saint Lucie
The forgoing instrume t was acknowledged before me The forgoing instrument was acknowledged before me
this day of 6C 20 L5—by thisd-q day of �20 A5- by
John Pankraz 1 John Pankraz
(Name of person acknowledging) (Name of person acknowledging)
U-U- J4,u, vzt--
(Signature of Notary Public-State Florida) (Signature of Nobry Pu Dc-State of Flori a J
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of identification Produced Type of Identification Produced
'.�
Commission No. �`� $3&- - - Seal) Commission No. J I O (Seal)
NANCY LEE GFORD NANCY LEE LANGFORD
COMMISSION N EE830242 =" A& �'"= MY COMMISSION#EE83024
Revised 07/15/2014 %?w„, EXPIRES October 12,2018 `'�oP df:'^ EXPIRES October 12,2016
(407 59A 0153 FloddalloterySstvlCe.00m 00713118-01-53 Florid oNom Servke.00m
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS