HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7131117
Permit Number:
w
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce Ft 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical Ed
PROPOSED IMPROVEMENT LOCATION:
Address: 8006 LAKELAND BLVD
Legal Description: LAKEWOOD PARK -UNIT 7-BLK 74 LOT 1 (MAP 13/02N) (OR 566-494:2183-1 10 : 2383-2097)
Property Tax 1134: 1301-6017-0108-000-7
Lot No.1
Site Plan Name: MCMAHON
Project Name: Block No. 74
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE AC LIKE FOR LIKE, CHAMPION 3.5 TON, 17 SEER 8KW, CON ENSOR MODEL
NUMBER: TC7134221, AIH MODEL NUMBER. AE42CX21 & TXV
CONSTRUCTION INFORMATION:
AELiVona war to e e Orme un er
®HVAC Gas Tank
11 Electric 1:1 Plumbing
Total 5q. Ft of Construction:
Cost of Construction: $ 5945-00
PUT 11 HL — CneCK all gnat apply:
Gas Piping IL JI Shutters
Sprinklers ❑ Generator
S Ft. of First Floor:. _
Utilities Sewer ❑ Septic
OWNER/LESSEE:
Name SUSAN MCMAHON
Address: 8006 LAKELAND BLVD
City: FORT PIERCE FL
State:
Zip Code: 34951 Fax:
Phone No. 772-971-2885
E -Mail:
Fill in fee simple Title Halder on next page [ if different
from the Owner listed above)
CONTRACTOR:
Name: JOHN A PANKRAZ
Company: ELITE ELECTRIC Al
Address: 1691 SW SOUTH MA(
City: PORT ST LUCIE
Zip Code: 34984
Phone No. 772-340-3797
E -Mail: PERMIT@ELITEELECT
State or County License: CAC'
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Windows/Doors
Roof Roof pitch
gilding Height:
D AIR
EDO BLVD
State:FL
Fax:
;ICANDAIR.COM
316433
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
x Not Applica
State:
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State:
X Not Applicable
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 holdei 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 Amendmefits.
The following building permit applications are exempt from undergoing a full concurrency review; oom 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 arid posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordiDg.-y-Qur Notice of Commencement.
er/L ee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF-
The forgoing instrument was acknowledged before me
this 43Pod ay of 20 1-7 by
JOHN A PANKRAZ-A
(Name of person acknowledging)
Signature of
STATE OF FLORI
COUNTY OF --
The forgoing instrument was a
this 3t 11dayof �Ca Ry
JOHN A PANKRAZ
(Name of person acknowledging)
(Signature of Notary Public- State of Florida) {signature of Notary Public -
Personally Known
Type of Identificai
Commission No. F
Revised 07/15/2014
REVIEWS FRONT
COUNTER
DATE
COMPLETE
INITIALS
KOIEAREN
hod"gff
Personally Known v--- 0
_ rC mmossiar,
Type of Identification Produ
My Comm. EX es Jun 25, 2020
t4@0
—
Commission No.
—Banded ationa) Notary Assn.
ZONING SUPERVISQR
PLANS VEGETATION
REVIEW REVIEW
REVIEW REVIEW
older
edged before me
20 1-7 by
of Florida )
it
My Corcmm��.xpires Jun 25, 2020
Bondedmrno National Notary Assn.
-A TURTLE MANGROVE
REVIEW REVIEW