HomeMy WebLinkAboutBuilding Permit Application 10/27/2015 10:44. 1 ELITE ELECTRIC INC PAGE 02
rlALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/2W2015
Permit Number:
RECEP.-D OCT 2 7 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: Electrical
Address: 11001 Ridge Avenue
Legal Description: BS HARRISIS/D BLK 5 LOTS 9,10,11,12,13 AND S 4 FT OF LOT 14-LESS RR RMI(OR 2689-533,534:2860-1059)
Property Tax I D#: 3532-503-0069-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Steiger
Setbacks Front Back: Right Side: Left Side:
Install new 150 amp service with meter, riser, grounding system.
mona wor to e e orme un erffGaipin
ermit-c ec a appy:
HVAC Gas Tank s Pg _Shutters Windows/Doors
Z✓ Electric E Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2400.00 Utilities:Sewer[]Septic Building Height:
Name Kenneth Steiger Name: John A.Pankraz
Address:44 Cameron Ave. Company: Elite Electric&Air, Inc.
City: Babylon State:NY Address: 1691 SW S Macedo Blvd.
Zip Code: 11702 Fax: City: Port St. 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: NancyL@EliteElectricAndAir, Inc.
from the Owner listed above) State or County License: EC 13006036
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY, x Not Applicable
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Name: Name:
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Address: Address:
City: State: City: —State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Narne:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which Is In conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review Your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in ail respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen roams and accessory uses to another non-residential use
WARNING TO OWNER:Your failun!66 Record a Notice of Commencement may result in your paying twice for
improvements to your pryoper?t ,,�Notice of Commencement must be rvxeftle4 and posted the jobsite
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before the fir$A*n'.9T*ction.din our
V1 Intend to obtain financing,consul lend ora ey before
commencirXworkhr rec ding your Notice of Commencement.
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Signalke of 0 �
1 ee/Agent Signature'*01�1�1�ense Holder
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STATE OF FLORTSTATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The f2r;Xg instryrylent was acknowledged Wore me The forgoing instrument was acknowledged 0kre me
thisdo tlay of 20 -L5 by this 26TH day of OCTOBER .20 IS by
John A.Pankraz John A.Pankraz
(Name of person acknowledging) (Name of person acknowledging)
(Signature clNotary Public-State IF Florida) (Signature of Nota iy Public-State of Florida )
Personally Known x OR Produced identification Personally Known x OR Prduced Identification
Type of Identification Produced Type of Identification Produ .
Commission No. EE830242 yI
Commission N0. ��E830242
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGRO�
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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