HomeMy WebLinkAboutBuilding Permit Application J J• J ♦
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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,17 Permit Number: '6
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RECEMED JAN 04
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Building Permit Application
Planning and Development Services
Building • r Code Regulation Division
Ii Virginia Avenue,
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
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Address: 5623
Oleander Avenue Fort • -
rce, Fl. 34982
Legal Description:
• 40 W 264 FT OF OF OF OF 1 !" 697-1522)
Property Ute •
BlockSite Plan Name: Turmail •
Project Name:
Setbacks • Back: Side:
Left
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Install 200 amp meter main combo, FPL disconnect, reconnect.
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Additional work to be ertormed under this permit—c
ZElectric M Plumbing F]Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: Sci. Ft.of First Floor:
Cost of Construction:$ 2279.00 ■ ■Septic Building Height:
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simpleFill in fee • •^ on page(if different
from Owner listed . •• RIM • • fi.i .
01/04/2017 14:27 1 ELITE ELECTRIC INC PAGE 04
DESIGNER/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!n your g twice for
improvements to your property.A Notice of mencement must be recorded and ed on the jobsite
before the first in ion. If you inten obtain financing, consult wit er n attorney before
commencingw or jecording your4ptice of Commencement.
S
Signature of Owner/lessee ontractor as Agent for Owner Signature cto cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Tte f Mi9f Z 20 t�,_by this 28TH day of DECEMBER ,20 1# by
JOHN A.PANKRAZ JOHN A.PANKRAZ
(Name of person acknowledging) (Name of person acknowledging)
VtX1 vti�4a A�/� vt-e-, Al�
(Signature of Atary Public-StatA of Florida} (Signature of Notary Public-State of lorida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of identification Produced Type of Identification Produced
routine
Commission No. GG 20372 "x,NAItIEB LANGPORD Commission No. GG 20372niutirotin
MY COMMsSION rl 0020372 NANCY LEE LANGFORD
MMS-Odober 12,2020 MY COMMISSION*002W72
ar
EXPIMS:October 12,2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS