HomeMy WebLinkAboutBuilding Permit Application 02/10/2016 11:47 1 ELITE ELECTRIC INC PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/10/2016 Permit Number:
RECE! �D FES 10 2016.q
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
ro
Address: 205 alive Avenue Port St. Lucie,Fl. 34952
Legal Description: River Park-Unit 2-Bik 19 Lot 38(Map 341228)(OR 374-1809,1810-, 1277-1070:1367-1292)
Property Tax ID#: 3419-510-0269-000-4 Lot No.38
Site Plan Name: Block No. 19
Project Name:
Setbacks Front Back: Right Side: Left Side:
Extend existing circuit for 120 volt lift station.
e. <
Add
it ono war to e e Orme under this permit—check a appy:
HVAC 13 Gas Tank Das Piping _Shutters ❑Windows/Doors
oElectric 0 Plumbing Sprinklers 11 Generator Roof
Total Sq.Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 300.00 Utilities: DSeptic Building Height:
Name Edward C Olson If Name: John A.Pankraz
Address:205 Olive Ave. 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:FI
Phone No. Zip Code: 34984 Fax: 772-340-3702
E-Mail: Phone No. 772-340.3797
Fill In fee simple Title Bolder on next page(if different E-Mail: NancyL@EliteEiectdCAndAlr.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.
02/10/2016 11:47 1 ELITE ELECTRIC INC PAGE 03
DESIGNER/ENGINEER: xx: Ndt 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: xx 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 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 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 . tend to obtain financing,consult with lender or an tt-orney before
commencing work or recd ir Notice of Commencement.
- ("�K s
Signature of Ow r/Le ee/Agent Signature o C tract icense Holder
STATE OF FLO A STATE OF FLORIDA
COUNTY OF sA,NTwc,E COUNTY OF sAINTLuc'E
The forgoing instr meet was acknowledged before me The forgoing instrument was acknowledged before me
this 16"day of 20 L(,�_Jby this 'a"n day of 20 _&Z_by
John A.Pankraz John A Pankraz
(Name of person acknowledging) (Name of person acknowledging)
(Signature of 04atary Public-Stath of Florida) (Signature of lotary Public-State o Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produc of identification Produ d _
NANCY LEE LANGF RD GaNCY LEE LA
� NOPOR
Commission No. EE830242 �_ ISSIon No. EE 830242 =: &' �rlAitBStON
OMISSION#tE &4Ln +.'
a " eXpiRES October 12, 16 E1fP1RES Iw830
taeTl a�a.rri October 12
44 Tj�� •. n a oNrySarvica.00m
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS