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Building Permit Application
w _ � I ALL APPLICABLE • MUST BE COMPLETED FOR APPLICATIO N TO BE ACCEPTED 1 Date'. Permit Number- RECENVED! Building Permit Application JAN -3 2017 Planning and Development Services Building♦ . Code RegulationDivision It Virginia Avenue,Fort Phone:(772)462-1553 Fax:(772)462-1578 Commercial. Residential x Js� "ty�j"`"_. ,�T3'aY�t€'>"ut51F'h`r' ,j£.. x F;i•'". a.�g 7,R� e'k'c.' a' ? a .t', F'sc r ,m'rer'r' Jnr n->�. ,.�f•f. LR � °>iq5�` >vt�i`¢#�' S�'���°q,�y°, "`.A s.-c�.��iP �'��•4'-.�._ ��i�v�` ';�L "�°�7�'�,$ ,f:' 4":F.'im, r�'"�+{:F"l.+� 'a e ice?m �.J7,z',39sara %is.�a� .4.s'�:'k'.1"x'''��7 •� nnT'..h �a w"�'..�.�'{'��'�'�0�.��'�'.�� 6� ����. ,i'7w� .,���.�'`��:.'�.'a: ��.�z�{s�. :m '�U'.y,"�,2f y�''F7L .F� ?��,t iN�y `b�ad Address: 19 NE PRIMA VISTA BOULEVARD Legal Description: RIVER PARK-UNIT 5 BLK 44 L• • !' 609-106) Property t3419-540-0044-000-4Lot No. NicholsSite Plan Name: Blocka Project Setbacks • Side: Left i a. ' ;4 r.' "�. ,s: -s ,' .:k U'' '+s�{?'4#:1?"� .srrA Yi�a��,� Fes,•,.''YY,,,t�S.r:a�'��sk+z�' `., ii',. $� � f��x'. tlx u_A r s ,r o r �u.,may• .s� e1�" �f�� 2 P+> t; t,s�+-: v9 L" ea" � �. r> tbst,�s � '�. �`���„• ��u�;�"-'�Lf ,t.�rt ff- `f a.'�.y ±'����t A,tl% t• �+� � � +•- A� � � � w v f+,7 4 j��r,�`�S'^i+l��� �"^ t d�7�, r�^ 4 � `#� 1 �� yv t rt Yn install 120v receptacle outside of home !'�„�l'r.�,tiEf'a.CjM�#:i(a•" •�r( °�F4�o;�'eiki;£�a,'.i`Eaz^{4���x�a`,4���., �{CrS.,as,"'"��bC,,• •"i, c r� x �y1xti',`�.-`+�1�,�a..�,`;'�nl'�+n,w:�`3r ��.1`n.",�`sti'i,'."�t.i?W'5ns a«.� .��l u°�w?�'c4�t' i4� nkt -I� y ?�t�x�.a:.;c•Y�t.Ifs>ma�n.s�f..sl.�'�Fr..g';re.?'��9t>Yf ct'fv<.?��3mi���i>t�;'t'3sa1�'f'.iir� OHVAC Li Gas Tank OGas Fich F]Wi Piping •• •• © ■ Plumbing FISprinklers ■ Generator ■ Roof 4• pitch Total i of Construction: • Ft.ofFirst Floor: Cost of Construction: 250-00 Utilities: ■SewerFISepticBuilding •:,�,,r,:�;•£i.'i,�':J"9 '7 h''Ed't.+..f4lt c, r {µ ;k�•i}";f,R^'i ,•.`i' - Ta. ".�"ly- ',�y'�pM?:,'^ �. T.«>E .�� x'a s........: si. k 4 �ro°' {r.AaytYr� +bt�4 z .� �� n� tyn r �ytn-i�i:- n� .;+`F� �,," ,e�t4,.�� k��n.f x• �n,� �. 7111 F1 r ttr,'a r hui 5�s..�:�R'fu".�`v��a�'`�u k 9s�G��:'���t s�. s,,. �,,�5. # �s ���,c�r��w G'....,r'r1�'`�.��,2s,.�.3.�.ssa� �t :��r���� '� i � � a.�� r.•C•.�#`a'`t'��RV'?>.r�,?, 51 J.." a.,sw`G. �° 5 ,t, 3.swi;�_+,.a,:s !:.'�.�,:,�,..��»....L,IzS•rr. /• • rName: John A Pankraz it {• iCompany: Elite Electric and Air, Inc. • Address: i• •• Macedo Blvd. • si Port St. Ludle State:FI 7 11 Zip Code: 34984 Fax: 772-340-3702 Ph one • { • f . . .. State or a EC ii•i 36 oil 1 1 • • ' i • Notice of rf% 0110312017 14:49 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 MOLDER: 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 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,wails,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 recor-d4 and posted on the jobsite before the first inspection. If you intend to obtain financing, consult witpmncjer or an attorne efore commencin wa recordin ou 6fiice of Commencement, S Signatur of Owm17less ontractor as Agent for Owner §F;i7UrebLfC0rrt_raK0r/Lic06se Hoiden STATE OF FLO STATE OF F aRig COUNTY OF SAI TLUCIE COUNTY sAl ue1E The forgoing instrument was acknawtedged before me The forgoing instrument was acknowledged before me this,ILP day of a1 Yt_m 20 111 y this 3RD day of JANUARY 20 by JOHN A PANKRAZ JOHN A PANKRAZ (Name of pers owledging) (Name ofperson acknowledging) ure of Wtary Public-State of Florida) (SIgnature of Nqyry Public-State of Fla da) Personally Known x OR Produced identification Personally Known x OR Produced identification Type of Identification Produced Type of Identification Produce Commission No. GG20372 s e a LE;SL,�NQFO mmisSion No. GG20372 +N�� orgP' ixas. s002037 u a ussrory a F0 �.2020 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS