HomeMy WebLinkAboutBuilding Permit Application 10/26/2015 15:01 1 ELITE ELECTRIC INC PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Cd 1 Permit Number: 5 c o
RECEP.—D OCT 2 7 B15
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce rL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address: 4803 Myrtle Drive, Fort Pierce,FL 34982
Legal Description: INDIAN RiVER ESTATES-UNIT 07-BLK 42 LOT 17(MAP 34/02N)(OR 3545-1221;3572-566)
Property Tax ID#: 3402-608-0133-000-0 Lot No.17
Site Plan Name: Block No. 42
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Replace AC system, like for like; 3.5ton 14seer Lennox AC with 1Gkw
IN
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Additional wor to ne nerrormea under tispermit—check all that appy:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
1-1 Electric El Plumbing Sprinklers 12 Generator 0 Roof
Total Sq. Ft of Construction: Sq.Ft.of First Floor
Cost of Construction:$ 4163.00 utilities:LOSewer LJ Septic Building Height:
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Name Femando Lopez Name: John Pankraz
Address:4803 Myrtle Drive Company: Elite Electric&Air, Inc
City: Fort Pierce State:FL Address: 1691 SW South Macedo Boulevard
Zip Code: 34982 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@EliteElectricAndA!r.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.
10/25/2015 15:01 1 ELITE ELECTRIC INC PAGE 03
.. 111' 1111�
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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
commend work or recording our Notice of Commencement,
s
S ature o ner/Lessee/Agent Si tore of C ctor/License Holder
TATE O LORIDA STATE LORlDA
COUN'TY OF swnt-9 COON OF samt�o=�o
The forgoing instrument was acknowledged before me The for Wog instrument was acknowledged b ore me .
this,2^ay of. _, 20/.Cby this2 day of-- r---�f�_,zo acknowledged
John Pankraz Joan Pankraz
(Name of person acknowledging} (Name of person acknowledging)
(JAI,
(Signature of Nota Pub'c-State of Florid (Signature of No Pu is State of Fi ' a)
Personally Known OR Produced Identification Personally Known OR Prod ``'" ication
Type of Identification used Type of identification Produced - :? I
Commission No. ! Commission No.cr UOQ "Co
,ICY
Y
^ , al :.: NANt^y ! kA,R s Gln
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"'�„�� , Ext:,., •�II:'���ts`rt •� '4�Q o�fo ,�, 'a0
Revised 07/15/2014 J398-0183
12,2oTa �p °
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGRO
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS