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10/27/2016 16:59 1 ELITE ELECTRIC INC PAGE 05
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10127/2016 Permit Number:
Planning and Development Services Building Permit Application OCT 2 8
Building and Code Regulation Division PEROJTT�;%;
2300 Virginia Avenue,Fort Pierce FL 34982 S1. Lucia CoLljj
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Electrical
Ems=
Address: 9737 Gumbo Limbo Way Jensen Beach, Fl, 34957
Legal Description: 53?41 FROM NWCOROfVLIOP FEE-6 PROP AS Rr0INPL.8K4-04,THSWDI!G06 MIN WALOWLYPRWOFSDL;10101 FTTOYs@ dOPFE0VA.7HS23 DEG 4BWN IIALGRANLI2W5A2FTTHS55 DEG IS MIN 188ECW5061
OF E IP OF Ne 114120OFTM L TO INT SU LOT 2MI1_LERSSJD.THN8I DEG 30 MINE ALG SDgLIBDOFrMIL TOVAYRANFECRR.rH N 23DE048 MIN W3ECWALG SDRANI50PTMA.TOR UORjOT I SD MILLERS&b.T"0DEW.a MIN DSEC Ww.12FTTOWq"0QNW
Property Tax ID#: 4505-110-0007-050-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side:_Left Side:
NONE= , OEM
Replace meter-disconnect, riser and grounding with new 200 amp meter main combo, riser and
grounding.
(y I1 lectric Ptumbing Sprinklers Generator Roof Roo#pitch
Total Sq.Ft of Construction: SQ. Ft.of First Floor:
Cost of Construction:$ 2027.00 Utilities:0 Sewer 13 Septic Building Height:
Name Tr Int imp Trust Fund Name: John A.Pankraz
Address:3900 Commonwealth Blvd. Company: Elite Electric And Kir, Inc.
City: Tallahassee State:F1 Address: 1691 SW S Maeedo Blvd.
Zip Code: 32399 Fax: City: Port St. Lucie State:Fl
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: Permit@eliteelectilicandair.com;NancyL@eliteefecMcandair.com
from the Owner listed above) State or County License: EC13006036
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
10/27/20I8 16;59 1 / ELITE ELECTRIC INC
PAGE 06
DESIGNER/ MORTGAGE COMPANY: X N ot"I Apoli I cable
MOM
Name: ENGINEER- "Not"Appricable
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.Lucia 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 ma estrict or prohibit such
Ic
structure.Please consult with your Home owners Association and review your deed for any restrictions Yhi h 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 pog-ed on the jobsite
before the first inspection. If you intend to obtain financing,consulIxA"nde attorney before
C'A__� L_/ s
Signature of Own �ess e/Contractor as Agent for Owner Signature of fontraAor/License Holder
ss
STATE OF I =DA STATE OF FLORIDA
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
(Name of person acknowledging) (Name o person acknowledging)
(Signature of NotaV/Public-State of florida (Signature of Nditary/Public-State of Florio)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
NANCY LEE LANOPORD
Commission No. GG 372 GG 20372 LAMIFORM
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WMIPE&0ohober 12,2020 EDTIRM:October 1%2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
L DATE
COMPLETE
INITIALS
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