HomeMy WebLinkAboutBuilding Permit Application 04/07/2016 14:27 1 ELITE ELECTRIC INC PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/07/2016 Permit Number: \C*by ��53
I A
RECEIV7D APR 0 8 2016
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
Address: 139 Nettles Boulevard Jensen Beach, FI. 34957
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION 11 PARCEL 139 ANDPRO-RATA SHARE IN COMMON ELEMENTS(OR 548-2817)
Property Tax ID#: 4502-501-0325-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install new pedestal, like for like.
NMI I="
Additional work to be performed underthis perm —check all t=aPPIY:
11HVAC Gas Tank []Gas Piping _Shutters I�Windows/Doors
�✓_ Electric 0 Plumbing ❑Sprinklers []Generator 0 Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2462.50 Utilities: Sewer OSeptic . Building Height:
Name John Kujawski Name: John A.Pankraz
Address: 139 Nettles Boulevard Company: Elite Electric And Air, Inc.
City. Jensen Beach State:Fl_ Address: 1691 SW S Macedo Boulevard
Zip Code: 34957 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@EliteElectHcAndAir.com
from the Owner listed above) State or County License: EC 13006036
If value of construction is$2500 or more,a RECORDED Nonce of Commencement is required.
04/07/2016 14:27 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 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 i tion. If46u intend to obtain financing,consult nder or an attorney before
commencin odi
rk or ec n our Notice of Commencement.
s
_Sign tore of r/L ee/Agent Signatu tract /License Holder
STATE OF FL STATE F IDA
COUNTY OF nirwciE COU sAINT�uc�e
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this 17 day of "Pul 20 j by this 7T" day of APRIL 20 /1!�Pby
John A.Pankraz John A-Panic=
(Name of person acknowledging) (Name of person acknowledging)
`&, 4L± v,,
(Signature of N tary Public-State of Illorlda) (Signature of Nota Public-State of Ffori )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produce
Commission No. EE 830242 �� (Seal) Commission No. ee830242
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DATE
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INITIALS