HomeMy WebLinkAboutBuilding Permit Application 02/11/2016 14:29 1 ELITE ELECTRIC INC PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/11/2016 Permit Number: tro0 a —daa
tia _ RECEIV71 FEB 112016
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
M�Mt "00
.
Address: 4160 N.Highway AIA Apt. 1101 A
Legal Description: OCEANIQUE OCEANFRONT(OR 2752-1842)BLDG.A UNIT 1101 (OR 3798-2959)
Property Tax ID#: 1423-506-0064-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Extend circuits for automatic shutters.
Additional work to be nertormed un er ty is permit—check ail appy:
❑Gas Gas Tank
HVAC
LJ Piping _Shutters ❑Windows/Doors
LTJ
✓�Electric Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: SQ. Ft.of First Floor:
Cost of Construction:$ 1286.00 Utilities:O Sewer 0 Septic Building Height:
Name Jeffrey J.Hochman(TR) Name: John A.Pankraz
Address:4160 N. Highway A1A Apt. 1101A Company: Elite Electric&Air, Inc.
City: Fort Pierce State:FI_ Address: 1691 SW S Macedo Blvd.
Zip Code: 34949 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 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.
02/11/2016 14:29 1 ELITE ELECTRIC. INC PAGE 04
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 Count 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 CountyAmendments.
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 jptenid to obtain financing,consult w' nder or an arrteyy efore
commencing war cordin our Notice of Commencement.
s
_Signature of Owner s e/Agent Signa=eonctor/License Holder
STATE OF FLORI A 5TATIDA
COUNTY OF saint Lucie COUNTY OF saint Luce
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this L day of l�jaeU�20 Aby this "m day of February 20 _L- by
John A Pankmz John A.Pankraz
(Name of person acknowledging) (Name of person acknowledging)
�Jj�Ve—L
(Signature of N tary Public-State of Fibrida) (Signature of lotary Public-State V Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Prod ufmz------- Type of Identification Produce
NANCY LCI•=LANGFO
ee aaoza2 (�Y LCC
Commission No. Ee asozaz �o mission No. a:
,:�; IRRIS IOdJ#EF83 42 :°, LANGpO
MY
EXPIRES October 12,2p g fast , S�lON#
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS