HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/23/2017
Permit Number:
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: 26 Lake Vista Trail Apt. 103 Port St. Lucie, FI. 34952
Legal Description: Vista St Lucie Bldg 11 Unit 203 (OR 3965-922;3974-30)
Property Tax ID #: 3422-500-0150-000-6
Site Plan Name:
Project Name: Buquoi
Setbacks Front Back:
Lot No.
Block No.
Right Side: Left Side:
Replace AC , like for like. 2 Ton 15 seer Rheem ,RA124; RBHP2417506,5kw
❑✓ HVAC
11 Electric
"Shutters
❑ Plumbing Sprinklers E] GeneratorRoof Roof pitch
Windows/Doors
Total Sq. Ft of Construction:
Cost of Construction: $ 4800.00
S Ft. of First Floor: _
Utilities:0 Sewer []Septic
Name Harold F. Buquoi
Address: 26 Lake Vista Tr. Apt. 103
City: Port St. Lucie State: Fl
Zip Code: 34952 Fax:
Phone No. 772-342-5680
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: John A. Pankraz
Building Height:
Company: Elite Electric & Air, Inc.
Address: 1691 SW S Macedo Blvd.
City: Port St Lucie State: FI
Zip Code: 34984 Fax: 772-340-3702
Phone No. 772-340-3797
E -Mail: permit@eliteelectricandair.com ;NancyL@eliteelectricandair.com
State or County License: CAC 1816433
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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 thepermit 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 twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with I or an att ney before
commencing work or"ordina our Notice of Commencement. /
Signature of 0 ee/C tractor as Agent
STATE OF FLO
COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me
this'�ay of M 20/lb
Y
JOHN A PANKRAZ
(Name of person acknowledging )
Sign atureiQfk-(5fitor/ ' ense Holder
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me
this 23RD day of MAY , 20 t% by
JOHN A PANKRAZ
(Name of person acknowledging )
lX14,'_ Q /' tao
6:�*Jyfj _�t'j V "V
-
(Signature of Notbky Public- State of Flo Ida ) (Signature of Notary P blit- State of Florida ) 41
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GG20372
Revised 07/15/2014
CY LEE LANGFORD
(OMMISSION # 0020372
' EXPIRES: October 12, 2020
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. GG20372 `E' N19ditELANGFORD
.v MY OWOSION # G020372
EXPIRES: October 12, 2020
REVIEWS
FRONT
ZONING
DESIGNER/ENGINEER: X Not Applicable
PLANS
ti
MORTGAGE COMPANY: X Not Applicable
Name:
MANGROVE
Name:
Address:
REVIEW
Address:
City: State:
REVIEW
City: State:
Zip: Phone:
DATE
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
INITIALS
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 thepermit 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 twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with I or an att ney before
commencing work or"ordina our Notice of Commencement. /
Signature of 0 ee/C tractor as Agent
STATE OF FLO
COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me
this'�ay of M 20/lb
Y
JOHN A PANKRAZ
(Name of person acknowledging )
Sign atureiQfk-(5fitor/ ' ense Holder
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me
this 23RD day of MAY , 20 t% by
JOHN A PANKRAZ
(Name of person acknowledging )
lX14,'_ Q /' tao
6:�*Jyfj _�t'j V "V
-
(Signature of Notbky Public- State of Flo Ida ) (Signature of Notary P blit- State of Florida ) 41
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GG20372
Revised 07/15/2014
CY LEE LANGFORD
(OMMISSION # 0020372
' EXPIRES: October 12, 2020
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. GG20372 `E' N19ditELANGFORD
.v MY OWOSION # G020372
EXPIRES: October 12, 2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS