HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7127117 Permit Number:
J-_
•
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
PROPOSED IMPROVEMENT LOCATION:
Address: 5708 Seagrape Drive
Legal Description: INDIAN RIVER ESTATES-UNIT-08- BLK 60 LOT 7 (MAP 34111 N) (OR 3284-1411)
Property Tax ID #: 3402-609-0285-000-3
Lot No.7
Site Plan Name: GREENWAY
Block No. 60
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE AC LIKE FOR LIKE, 2.5 TON AMERISTAR M4AH4032A10A, 14
SEER, 7 KW, A/H
M4C4030C1000A
CONSTRUCTION INFORMATION:
Additional work to be e Orme un ert lspermit—check a appy:
HVAC Gas Tank nGas Piping Shutters
LJ
U Electric 0 Plumbing Sprinklers [:] Generator
Windows Daars
/
Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 4266.00 Utilities:cn Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PHILLIP GREENWAY Name: JOHN A PANKRAZ
Address: 5708 SEAGRAPE DR Company: ELITE ELECTRIC
P y:
ND AIR
City: FORT PIERCE State:FL Address: 1691 SW S MACEDO
BLVD
Zip Code: 34982 Fax: City: PORT ST LUCIE
State: FL
Phone No.772-475-7522 Zip Code: 34983
Fax: 772-340-3702
E-Mail: Phone No. 772-340-3797
RICANDAIR.COM
Fill in fee simple Title Holder on next page { if different E-Mail: PERMIT@ELITEELEC
1816433
from the Owner listed above) State or County License: CA
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
Personally Known x OR Produced
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
Address:
City: State:
Zip: Phone:
State:
Revised 07/1512014
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
Address:
City:
x Not Applicable
Address:
PLANS VEGETATION
REVIEW REVIEW
City:
DATE
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 thepermit holde
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants t
structure. Please consult with your Home Owners Association and review your deed for any restric
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respec
in accordance with the approved plans, the Florida 'Building Codes and St. Lucie County Amendme
The following building permit applications are exempt from undergoing a full concurrency review:
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to an
WARNING TO OWNER: Your failure to cord a Notice of Commencement may result
improvements to your roperty. A tice of Commencement must be recorded ai
before the first it io . If you tend to obtain financing, consult wytd�i er er o
commencing wor or re ordin our Notice of Commencement. / S
Signature of Owner
STATE OF FLORIDA
COUNTY OF --
ctor as Agent for Owner
The forgoing instrurn�pt was acknowledgedefore me
thisA"ay of v 20 ,��by
JOHN A PANKRAZ1
(Name of person acknowledging)
I �j�y4LP_,
(Signature of dotary Public- State of F rids )
Signature of Contrator/ icense
STATE OF I l
COUNTY OF ST -C -
The forgoing instrument was
this 27 day of JULY
to build the subject structure
at may restrict or prohibit such
ions which may apply.
s, perforin the work
oom additions,
ther non-residential use
n your paying twice for
d posted on the jobsite
an attor-ney before
?dged before me
20 by
r
JOHN PANKRAZ
(Name of person acknowledging )
qu
(Signature of Notary ublio- Sta e of Florida
s
Personally Known x OR Produced Identification
Personally Known x OR Produced
Identification
Type of Identification Produced
Type of Identification Produced
NA' PU.
N"bY LEE LANGFORD
�MY coMl SSION # G020372
' "IBES; Wabw 12, 2020
/�
Commission No (,� 0'31g ,WA ommission No*A03
° NANCY LEE LANGFO
MY COMMISSION # GC,2nl
Revised 07/1512014
EYPov IRE& Octabr� 2-2-0.20
REVIEWS FRONT ZONING
COUNTER REVIEW
SUPERVISOR
REVIEW
PLANS VEGETATION
REVIEW REVIEW
SEA TURTLE MANGROVE
REVIEW REVIEW
DATE
COMPLETE
INITIALS