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HomeMy WebLinkAboutBuilding Permit Application r ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: i Building Permit Application OCT 17• Rhz 'F' 1 Ta R• c�piv •,ccs 0 16 Planning I I Development ► ► Building ♦ / Code Division • ii VirginiaAvenue,Fort Pierce FL 34982 Phone: • CommercialM na, u� Y s n3" 115 ; k b ai r rlaiy Amy 5 �c M, e, ��-71 s �A• MW' .;cs.; yam' F I�. , "`` "�' ��Y •- �5i.*�, 1411 J�+r� �i°•�t;�f y_.�•�`.'�:. 'tg�1�t R ay Y F Sf• 1 4 k d H"�><� �1 "`a W '7 W 3 v„.�C 1, j ,,,�f 1` q.?�'1�{" ,yd`',{ 7h34�4 ?'i i,,atla'Z.�+�S2':L:.^,,'nth,5i4.9�ft...v C• *k> `.s.""w�'�tls...ri rte: ..S.:r?;f '�5�+ 'z#t?5 ,7,. �S'..xfi r✓ E�i•.v...:.LP,.ruc „!x A,AsdkW r,A:7 .d:Y.;ul JSAK....�M7r„GR z?!t .Iii.l.11' • Galeria Way Port Legal Description: • Property Tax Ir 006643 i #718020085316 Lot No. Site Plan Name: Block No. Project ame: • • Setbacks Mastalerz • Side: `RS'!�i F G ?'d�,r`'J .it�..c F`�.a.L! h”.' 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Ft of Construction: SQ. Ft.of First Floor: Cost of Construction:5 6160.00 Utilities:0 Sewer OSeptic Building Height: ;,:;`•�:,-e;-f• a •at :n. f 1 EM a ""'`"�t.,t AN, KK ,;s �."",n`e :. 'rv �+ s^ `a •`'-'„,:', Ua`c, ff �a;fi"ffi +'t `3{{,,,-e`,2';�tY,a' ?trf "r:r.-2' *'q, L :�fiIC . -�, "? 3�, " ^� . ,[ ,- }F'H LEE � h. r q¢t+ v,h'.1- .l111; �y '3rd s� u '.r. .t to .t1F`.• (f�tr''r .F .gsra� kk'. .zdf, rA"r*' .:^%Y "kf:H i�rt it!!isd.i zL L1r. r �Sia�:�1 aL Iu 1 2� L �t r:i5�� a r ..w �nw w.Yr.<.:.a �i:,•: �4��t t:. a,a� _ �rs9,� �� Cz • • Name: t hn A.Pankraz Company: Elite_ Electric • s 1691 SW S Macedo Avenue �• !i •• St.Lucie Zip Code: + Fax: 772-340-3702 Phone • 772-340-3797 • • . . .. • permit@eliteelectricandair.com ♦ • ^. /• State or • 10/17/2016 11:20 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 Nat 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 permitwill authorize thepermit 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 pians,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 you intend to obtain financing,consult wi nder( r .ri attorney before commencin ork)Dr recordingVbur Notice of Commencement. S Signature f_Ow er/ ssee/Contractor as Agent for Owner SignaturekQLCailfrarl License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SAINT LUCIE COUNTY OF SAINTLUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this fday of O&V&P, 20 l -by this '7TH day of OCTOBER ,20 (*by JOHN A PANKRAS JOHN A PANKRAZ (Name of person acknowledging) (Name of person acknowledging) (Signature of N ary Public-State of F( rida} (Signature of NotYry Public-State of Florida} Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. GG 20372 mmission No. GG 20372 -lid" YLEE LANWRD MVC0NANCYLEE LAN CrPO tuA4:Ombe#03020372 8XP7RSS:OctobQ 12,2020+ U&VP S:O4*tW 32,2= Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 4NiTlALS