HomeMy WebLinkAboutBuilding Permit Application 61/06/2016 14:33 1 ELITE ELECTRIC INC PAGE 03
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_E A.P4, Permit Number:— l�L Q 1' DO'07
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Building Permit Application
Planning and Development Services JAN 17 1016
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)452-1578 Commercial Residential x
PERMIT APPLICATION FOR: Electrical
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Address: 5 Lake Vista Trail Apt. 102
Legal Description: Vista St.Lucie Bldg 5 Unit 102(OR 3794-2403)
Property Tax ID#: 3422-500-0058-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
.1 .,i.1 SU
Installed sub panel to separate air handler from condensor.
rtlona wor to e e nrmed under this permit—check all =apply:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric Plumbing ❑Sprinklers 12 Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 0.00(inc.with AC install) utilities:0Sewer QSeptic Building Height:
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Name Betty Otriz-Velazquez Name- Sohn A.Pankraz
Address.5 Lake Vista Trail Apt. 102 Company: Elite Electric and Air, Inc.
City: Port St.Lucie State:Fl. Address: 1691 Sw S Macedo Blvd.
Zip Code: 34952 Fax: City: Fort St.Lucie State:FI
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: Nancyi_@Elite ElectricAndAir, 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. dF 9
01/06/2016 14:33 1 ELITE ELECTRIC INC PAGE 04
DESIGNERjENGINEER: 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 the germit 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 ur property.A tl`ce of Commencement must be recorded and-posted on the jobsite
before the firs ' spe tion. If Intend to obtain financing,consult wi n r or an alto ty before
commencin work o r co In our Notice of Commencement.
S
_Signature er Le ee/Agent Signature of Contractor/Lic ns Holder
STATE OF FLOR STATE OF FLORIDA
COUNTY OF ST.WME COUNTY OF ST.LUCIE
The forgoing instrur�ment was acknowledged before me The forgoing instrument was acknowledged before me
this &M day of 20 t,jk.by this 6TH day of JANUARY ,20 110 by
JOHN A.PANKRAZ JOHN A PANKRAZ
(Name of person acknowledging) (Name of person acknowledging)
(Signature of N6tary Public-State df Florida) (Signature of Notary ublic-State of Florida
Personally Known X OR Produced Identification Personally Known X OR Produced identification
Type of identification Produced Type of Identification Produced
EE 930242 EYP"°r� @C) NCY LEE LANG EE 830242 �' Y LEE LANGr
Commission No. c-Se � fission No. >"' " " m
MY COMP�I310i�i#EE 30242 :r :": MY COMR+SRSatt}Pi V.
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