HomeMy WebLinkAboutBuilding Permit Application r
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICAT ON TO BE ACCEPTED
Date: 09121/2016
Permit Numben.
04:
RECE9VED
Building Per ' it Application
Planning and Development Services SEP 2 2 2016
Building a nd Code Regulation Div151on
2300 Virginia Avenue,Fort Pierce FL 34-982
Phone: 462-1553 Fax:(772)462-1578 Corn ercial Residential x
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Add62 Bimini Drive
Legal Description: CORAL CO
Property iaxiD#: 1425-701-0056-000-7 Lot No.17
Site Plan Name: Block No. 3
Project Name: Noell
Setbacksl Front Back: Right Side: Left Side:
711�._"r.s:i'.-:1.•�tr.nYt..rl..drXUJ~.tw�Tir�:d`u.,Eir.r•�7f:}:f).,.t�`vet`7:TQM".t.,7r'l.li&!ldr:r{i'r�,T�%�Ki:t4^�,lr.�tri�s* 4gJ.,,?a.tai.�.�t.:x','.`asa"x.>isk'ojSKtif�1F`i+t:�:+»FfH'L•1(<r:.t{�t:.`;�,�xf�titAirr� fL+T:k.�Erli.»^{�k4 t?'d}i�"!:.�ik���e�f7�T�!L��
Replacing 200 amp panel, like for like, new grounding system,
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AddTJJon_aTwo_rk Wb ee—i1ormed-_ u—n-der this p ermit—ch c k-a Ifli m
4,
11HVAC Gas Tank DGas Piping Shutters Windows/Doors
Electric ■ Plumbing 171prinklers Generator ■ Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:S 2104.83 Utillties:0 Sewer E]Septic Building Height:
Nam
Add
City:
Zip Code: 34949 Fax-,
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page(if different
from the Owner listed above)
If value of construction is$2500 or more,a RECORDED Not16 of Commencement is required.
09/22/2016 11:36 1 ELITE ELECTRIC INC PAGE 03
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: I City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: I T
Name:
Addressi' Address:
City: City:
Zip: I Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
I
St,Lucie Count v makes no representation that is granting a perm t will authorize theermit holder to build the subject structure
which is inlconflict with any applicable Home Owners Association rules,bylaws or an9covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
I
In consid&ation of the granting of this requested permit,I do he eby agree that I will,in all respects,perform the work
I
in accordahce with the approved plans,the Florida Building Code and St.Lucie County Amendments.
The following building permit applications are exempt from uncle going 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 ori-the jobsite
before the first inspection. If you intend to obtain financing, consult with le der or an att y before
commencing wDk-mrecording your Notice of Commencement.
Signature of Owner/Les OK7Contractor as Agent for Owner Signature of ContractiWense Holder
611
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF,9AINT LUCIE COUNTY OFSAINTLUCIE
The forgoing I nstrgment was acknowledged before me The forgoing instrument was acknowledged before me
thisaLSI'dayof 3WIf-1116ff— 20 4--by this 21ST clay of SEPTEMBER 20 /P by
John A.Pankraz John A.Pankraz
(Nam;of person acknowledging) (Name of person acknowledging)
I
(Signature of Nokary Public-State of arida cia
(Signature'of Notiry Public-State of Flo da
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produce Type of Identification Produced
I i , ITS 11
Commission No. a031'
Commissidn No. A 3 7e). Y LEE LANGFORD
11 LEE
i OW0372Cys
on EMX&Odabtr 12,2=
I W
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS