HomeMy WebLinkAboutBuilding Permit Application 11/13/2015 13:51 1 ELITE ELECTRIC INC PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/13/2015 Permit Number: s 'oLal _
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
$0�11111M e.
Address: 4741 Sears Street
Legal Description: Pine Vista Lot 14(0.79 AC)(OR 2577-2557)
Property Tax ID#: 2419-801-0019-0007 Lot No.14
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Set pole, service.riser,meter can, 100 amp. w/p panel and ground!rig system
i zona wor o (e� orme un er �s permit—c ec a app
(HVAC L_J Gas Tank ❑Gas Piping _ShuttersWindows/Doors
�✓ Electric Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 2400.00 Utilities:0Sewer 0 Septic Building Height:
Name William DeSantis Name: John A.Pankraz
Address:3066 Crockett Way Company: Elite Electric&Air,Inc.
City: Lake Worth State:Fl Address: 1691 SW S Macedo Blvd.
Zip Code: 33467 Fax: City: Port St.Lucie State:FI
Phone No. Zip Code: 34984 Fax: 772-340-372
E-Mail: Phone No. 772-340-3797
Fill in fee simple Title Holder on next page{if different E-Mail: NancyL@EliteElectricAndAir.com
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.
11/13/2015 13:51 1 ELITE ELECTRIC INC PAGE 03
SEEN=
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:
1 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 i n. If you i terfd to obtain financing,consult with der or an attorney before
com mencin& ork or r cord(n ur Notice of Commencement.
s
Signatur n L e/Agent Signaturect cense Holder
STATE OF FLORIDA STATE OF RIDA
COUNTY OF SA114TLUCIS COUNTY OF mNTLuc1E
The fo cc�mg Instru ent was acknowledged fore me The forgoing instrument was acknowledged before me
this z—,%ay of AJOUI;M J?W . 20/�by this 13TH day of NOVEMBER 20 _by
John A.Pankraz John A Panknu
(Name of person acknowledging) (Name of-person acknowledging)
bloc -k �.�tl�� . ,
- 4f 4
(Signature of Otary Public-State o Florida) (Signature of Nota PGblic-State of Fl Ida)
Personally Known x OR Produced Identification Personally Known x OR Produced identlfication
Type of Identificatlon Produc Type of Identification Produced
fF,r%. NANCY LEI=LANGF )
Commission No. eesso2az r�ap Nrn ission No. Eesaosaz , fY LEE LANGFOR
R+T-OMMISSi0N*EE p242 MY COMMISSION#EE8302
EXPIRES Ordober 12
RbrldoNeFery6AtvicecoRl 407 398-0159 FlodtlaNrrmry3efvke,oam
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS