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HomeMy WebLinkAboutBuilding Permit Application 01/26/2016 09:38 1 ELITE ELECTRIC INC PAGE 03 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01/26/2016 Permit Number: ;ii1G_4 1�1 AIA REQ:._ Building Permit Application JAN 2 6 2096 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: 205 Olive Avenue Legal Description: River Park-Unit 2-Blk 19 Lot 38 (MAP 34/22S) (OR 374-1809,1810:933-1364:1277-1070:1367-1292) Property Tax ID#: 3419-510-0269-000-4 Lot No.38 Site Plan Name: Block No. 19 Project Name: Olson Setbacks Front Back: Right Side: Left Side: Replace 150 amp main fused panel with breakers to 150 amp main panel with breakers. sTtNt��. P 8 i' itiona war to e ]erformed un ert his permit-�c ec a { appy: HVAC L_1 Gas Tank ❑Gas Piping _Shutters a Windows/Doors P ,Electric Plumbing Sprinklers Generator g Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 2028.72 Utilities:Sewer 0 Septic Building Height: Name Edward C.Olson II Name: John A.Pankraz Address:205 Olive Avenue Company: Elite Electric&Air, Inc. City: Port St.Lucie State:Fl Address: 1691 SW S Macedo Blvd. Zip Code: 34952 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.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. 01/26/2016 09:38 1 ELITE ELECTRIC INC PAGE 04 WIM iffil I M; �111 DESIGNER/ENGINEER: _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,consul nder or an rney before commencin k or reco_rslipgTour Notice of Commenceme s _Signature of ner/Lessee/Agent 5ignatur Contra r/License Holder STATE O FLORIDA ST ORIDA COUNTY OF ST.LUCIE COUNTY OF sr.LUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me th15 D nkfay of JANUf�P-u 20 &-by this 28TH day Of JANUARY 20 by JOHN A.PANKRAZ JOHN A.PANKRAZ (Name of person acknowledging) (Name of person acknowledging) d�L AAAtA;�t vi't- "Q4,4Q_ (Signature of Notary Public-State of Poricia) (Signature of Notgry Public-State of Flor'da) Personally Known X OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produce Type of Identification Produced Y'°"'' N_CY LEE LANGF EE830242 ;a± � '' N Commission No. EE830242 ° :(Sea ftsGYn fission No. �;; `1jLEE LANGFORD ip :"� MY OMMISSION#EE8 02424 w? hAY COMMISSION#EF83024 �oRki .' EXPIRE (407)9f 5.4193 FlnritlalloWryServke.coih (407)%)8_01$3 FlnritlallotaryS©rvice.com Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS