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HomeMy WebLinkAboutBuilding Permit Application 11/29/2016 12:22 1 ELITE ELECTRIC INC PAGE 02 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / Date: 11/29/2016 Permit Number: /� cs buy f' :liY+ cilli GENE® Building Permit Application NOV 2119 2016 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: 308 Riomar Drive Legal Description: RIVER PARK UNIT 2-BLK 11 LOT 4(MAP 34/22N)(OR 3785-1192) Property Tax ID#: 3419-510.0060-000-9 Lot No.4 Site Plan Name: Block No. 11 Project Name: HOOD Setbacks Front Back: Right Side: Left Side: `a Install dedicated 25 amp circuit for hot water heater Adda itiona wor to a orme un er t ss perm —c ec a appy: 1:1HVAC �Gas Tank n: Piping _Shutters []Windows/Doors Electric E]Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$ 998.00 Utilities:OSewer OSeptic Building Height: Name Eric C Hood Name: John A Pankraz Address:308 Riomar Drive Company: Elite Electric And Air, Inc. City: Port St.Lucie State:F1 Address: 1691 SW S Macedo Blvd. Zip Code: 34952 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 an next page(if different E-Mail: permit@eliteelectricandair.com;nancyl@eliteelectricandair.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. 11r29r2e16 12:22 z ELITE ELEGTRIG INC PAGE 03 r OESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Nat 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 tval a for improvements to your property.A Notice of Commencement must be recorded and posted-66 the jobsite before the first inspection_lf'}ou intend to obtain financing, consult with lender or an orney before commencing work ourrgiirding vour Notice of Commencement. s Signature of O �"er/Lessee ntractor as Agent for Owner Signature of antr o cense Holder STATE OF A STATE OF FLORIDA COUNTY OF SAiNTWCIE COUNTY OF SAINT WCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thisday of 011 f t?666 . 20 &by this 29TH day of NOVEMBER 20 by JOHN A PANKRAZ JOHN A PANKRAZ (Name of person acknowledging) (Name of person acknowledging) 4"tzl� V&—, 4,4,�Q (Signature of No ry Public-State of'Florida} (Signature of Notafy Public-State of Fior' a} Personally Known x OR Produced identification Personally Known x OR Produced Identification Type of identification Produced Type of Identification Produced Commission No. GG 203Commission No. GG 20372 ''2�MXOYLEELANGFORD e '(R*YLEE LANGxORD MY CONWSSION*GG20372 ' MY cor ssroN aa2oa72 „ �eEM:O�12.2026 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REViEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS