HomeMy WebLinkAboutBuilding Permit Application 04/11/20lG 15'�2 1
' ELITE ELECTRIC INC PAGE 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVE-D APR 112016
Planning and Development Services Building Permit Application
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
NEE
Address: 2807 Carol Place Fort Pierce, Fl.34946
Legal Description: "03"""D IN"0200+40 FROM NECORUM20 RUN W78233FTTHS23 CC-041 MEN ESSMPT MR POO.THC04T8ELy65Z Fr.T"I!12OFr.Tn RWLVALOWRNVOpMMgya53@PT.THW12OFrTOPOWR 134&&"
Property Tax ID#: 1428-602-0047-000-6 Lot No.20
Site Plan Name: Susan Bell Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
EN 110MENNEMEMEM
Install new 40 amp. 240v dedicated circuit for range and 30amp. circuit for water heater, new
dedicated 40 amp circuit for range, rewire existing circuit within 5 feet twice. Once for small
appliance and one for range hood. Install new 120 amp. circuit for washing machine.
app Y'
Additional work tone partormed underthis permit check a apply:
0HVAC 13 Gas Tank' OGas Piping Shutters F_1WIndows/Doors
Electric Q Plumbing FISprinklers Generator Roof
Total Sq. Ft of Construction: S a. Ft.of First Floor:
Cost of Construction:$ 2460.00 Utilities:0 Sewer OSeptic Building Height:
Name Susan P.Bell Name: John A,Pankraz
Address:2807 Carol Place Company: Eliti Electric&Air, Inc.
City: Fort Pierce State:Fi. Address: 1691 SW S Macedo Blvd,
Zip Code: 34946 Fax: City: Port St.Lucie State:.Fl
Phone No. Zip Code: 34984 Fax: 77i-UO-370i
E-Mail: Phone No. 772-340-3797
Fill in fee simple Title Holder on next page if different E-Mail: NancyL@ElkeElectdrAndAir.com
from the Owner listed above)- State or County License: EC 13006036
If value construction is$2500 or more,a RECORDED Notice of Commencement Is required.
04/11/2016 15:22 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 cord a Notice of Commencement may result In your payin twice for
improvements to your property. otice of Commencement must b corded and n I jabsite
before the first i ion. u intend to obtain financing,cons wi lender n attorney before
commencin ark r din our Notice of Commenceme .
s
_Signet OVnerlsee/Agent Si ontr or/License Holder
STATE OF FLO STATE ORIDA
COUNTY OF SAINT LUCIE COUNTY OF sakNTLUCIE
The forgoing instru e t was acknowledged before me The forgoing Instrument was acknowledged before me
thisMday ofL 20 &by this �1 day of 4N' 20 by
John A.Pankraz John A.Pankraz
(Name of person acknowledging) (Name of person acknowledging)
_ d& 14 �Y
(Signature of Notary Public-State of Florida) (Signature of N tary Public-Stat of Florida)
Personally Known x OR Produced Identification Personally Known x OR ced Identification
Type of identification Produce Type of Identification Produce • " '�
►� NANCY LEE LANGF 3p -• LEE LANGFO
ission No. EE830242 :�' 61�MMISSION#EE83 2
Commission No. EE830242 ; +"( l�oMNIISSICN#EE 394T Iia EXPIRES Oct 12.20
EXPIRES October 72, 018
.rom
FiOfiCON01a EtukCB.00M
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS