HomeMy WebLinkAboutBuilding Permit Application 01/10/2017 16:38 1 ELITE ELECTRIC INC PAGE 05
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J
Bate: 41/10/2017 Permit Number:
F
1S
Building Permit Application
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: Mechanical
Address: 228 SE Camino Street Port St. Lucie,Fl.34952
Legal Description: RIVER PARK-UNIT 3-BLK 28 LOT 38(MAP 34/22S)(OR 419-248:2663-2104)
Property Tax]D#: 3419-515-0227-000-3 Lot No.38
Site Plan Name: Kelly Block No. 28
Project Name:
Setbacks Front Back: Right Side: Left Side:
MENNESSEEm-
Install Lennox 2 ton XC14-024, Lennox CBX27UH-024, 16 seer, 5 kw, like for like.
Additional worK tobe performedd under t is permit c eck all mat appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
UElectric M Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq.Ft of Construction: Scl.Ft.of First Floor:
Cost of Construction:$ 6116.00 Utilities: Sewer LJ Septic Building Height:
Name Michael L. Kelly Name: John A.Pankraz
Address:228 SE Camino Street Company: Elite Electric and Air;Inc.
City: Port St. Lucie State:Fl Address: 1691 SW S Macedo Blvd.
Zip Code: 34952 Fax: City: Port St. Lucie State:FI
Phone No. Zip Code: 34954 Fax: 772-340-3702
E-Mail: Phone No. 772-340-3797
Fill in fee simple Title Holder on next page{if different E-Mail: Nancyl@EfkeElectricAndAir.com;permil@el9teelectricandair.cam
from the Owner listed above) State or County License: CAC 1816433
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
01/10/2017 16:36 1 ELITE ELECTRIC INC PAGE 06
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 __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 Rec x*a-Notice of Commencement may result In your paying twice for
improvements to your property.A N e of Commencement must be recorded and posted on the jobsite
before the first inspec4on. if youi end to obtain financing,consult wit er or an attorne before
commenciniz woocor ribcordingfour Notice of Commencement.
s
Signature of
,Lerssee nt ctor as Agent for Owner Signature of Co ract r/L ense Holder
STATE OF FLORIDA STATE OF F O
COUNTY OF SA]NTLuc'E COUNTY 0 SAINTuJc1E
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this J0 day of 26 L,%y this 10TH day of JANUARY 20 a by
JOHN A.PANKRAZ JOHN A.PANKRAZ
(Name of person acknowledging) (Name of person acknowledging)
444y::�,
l�
(Signature of Notary Public-Sta a of Florida) (Signature of Ndtary Public-State of Florida I
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of identification Produced
Commission No. GG20372 mmissian Na. oo20372 e8
lima
LEE LANGFORD,
k,; . .;.4tIS5tON#6ftN3372
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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