HomeMy WebLinkAboutDSmobileSCAN-100ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/24/2017
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: 7000 Eden Road Fort Pierce, FI. 34951
Legal Description: Lakewood Park- Unit 12-Blk 165 Lot 12 (map 13/12S) (OR 302-2056)
Property Tax ID #: 1301-614-0200-000-4
Site Plan Name:
Project Name: Christopher
Setbacks Front Back:
Right Side: Left Side:
Lot No. 12
Block No. 165
Replace AC, like for like. Install 4 ton Lennox 16 seer, 9kw. . CBX27UH048, EL16XC1047
HVAC
0 Electric
_ "Shutters
Plumbing OSprinklers GeneratorRoof pitch
QWindows/Doors
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 7400.00
Name Charles T. Christopher
erlriracc• 7000 Eden Road
S Ft. of First Floor: —
Utilities: Sewer 0 Septic
City: Fort Pierce State: Fl
Zip Code: 34951 Fax:
Phone No. 772-465-5669
G_nnail-
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Mama. John A Pankraz
Building Height:
Company: Elite Electric and 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
G -snail• permit@eliteelectricandair.com
State or County License: CAC1816433
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: X Not Applica
Name: _
Address:
City: _
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State:
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
X Not Applicable
State:
X Not Applicable
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 twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intendto obtain financing, consult with lender or an at y before
commencing work co ing your -Notice of Commencement.
Signature of O/LesseeJ46ntractor as Agent for Owner Signature of C�tr for/L' nse Holder
STATE OF FLORIDA STATE OF FL A
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instrum nt was acknowledged before me
this linay of 20 r% by
JOHN A PANKRAZ
(Name of person acknowledging)
4"Zt'�- & ��"
(Signature 9f Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GG20372
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this 24TH day of mAy , 20 17 by
JOHN A PANKRAZ
(Name of person acknowledging )
u4�)&
(Signature of N tary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
NLEE LANGFORDI Commission No. GG20372
My COMMISSION # G020372
NANCY LEE LANGFORD
My COMMISSION
October 12, 2020
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