HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8118/17
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
PROPOSED IMPROVEMENT LOCATION:
Address: 5 LAKE VISTA TRAIL #205
Legal Description: VISTA ST LUCIE BLDG 5 UNIT 205 (OR 3919-2334; 3974-30)
Property Tax ID #: 3422-500-0068-000-4
Lot No. 205
Site Plan Name: BUQUOI
Block No.
Project Name:
Setbacks Front Back; Right Side: Left Side:
REPLACE AC LIKE FOR LIKE, 2 TON, 15 SEER, 5 KW HEAT, RHEEM CONDENSER
RA1424AJ1NA, AIH RBHP17J06SH1
CONSTRUCTION INFORMATION:-TE�
�itiona wor to e er Orme un er, t is permit — c ec a appy:
6' EHVAC - Gas Tank E]Gas Piping OGenerator
Shutters Windows Doors
a Electric a Plumbing 'Sprinklers a Roof Roof pitch
Total Sq. Ft of Construction: S. Ft. of First Floor:
Cost of Construction: $ 4800.00 Utilities
:Sewer aseptic Building Height:
OWNER/LESSEE:
Name HAROLD BUQUOI
Address: 26 LAKE VISTA TRAIL #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)
CONTRACTOR:
Name: JOHN A PANKRAZ
Company: ELITE ELECTRIC AND AIR
Address: 1691 SW SOUTH MACEDO BLVD
City: State: FL
Zip Code: 34984 Fax:
Phone No. 772-340-3797
E -Mail: PERMIT@ELITEELECTRICANDAIR.COM
State or County License: CAC1816433
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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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
PROPOSED IMPROVEMENT LOCATION:
Address: 5 LAKE VISTA TRAIL #205
Legal Description: VISTA ST LUCIE BLDG 5 UNIT 205 (OR 3919-2334; 3974-30)
Property Tax ID #: 3422-500-0068-000-4
Lot No. 205
Site Plan Name: BUQUOI
Block No.
Project Name:
Setbacks Front Back; Right Side: Left Side:
REPLACE AC LIKE FOR LIKE, 2 TON, 15 SEER, 5 KW HEAT, RHEEM CONDENSER
RA1424AJ1NA, AIH RBHP17J06SH1
CONSTRUCTION INFORMATION:-TE�
�itiona wor to e er Orme un er, t is permit — c ec a appy:
6' EHVAC - Gas Tank E]Gas Piping OGenerator
Shutters Windows Doors
a Electric a Plumbing 'Sprinklers a Roof Roof pitch
Total Sq. Ft of Construction: S. Ft. of First Floor:
Cost of Construction: $ 4800.00 Utilities
:Sewer aseptic Building Height:
OWNER/LESSEE:
Name HAROLD BUQUOI
Address: 26 LAKE VISTA TRAIL #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)
CONTRACTOR:
Name: JOHN A PANKRAZ
Company: ELITE ELECTRIC AND AIR
Address: 1691 SW SOUTH MACEDO BLVD
City: State: FL
Zip Code: 34984 Fax:
Phone No. 772-340-3797
E -Mail: PERMIT@ELITEELECTRICANDAIR.COM
State or County License: CAC1816433
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER (ENGINEER: J�_ Not Appiicable MORTGAGE COMPANY: X Not Applicable
Name: Hm4"-w@"w Name: jei�
Address:5� °�T° T�~ ry , Address: 2
City: �tE State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X- Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 guild 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 lender or an attorney before
commencing work or recordin o otice of Commencement.
Signature of Owner/ Lessee/ ntractor as Agent for Owner Signature of Con ract cense Holder
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STATE OF
OUNTYOFORIDA STATELtC� COUNTY OFF FL A li r C4
The forgoing instrument was acknowledged before me
this ff4%ay of t La' 20J-3 by
Z
Name of pe so making statement
Personally Knowi Y OR Produced Identification
Type of Identificatio
Produced
(Signature of Nota4Pu ic- State of Florid
Commission No&& �}
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
The forgoing instrument was acknowledged before me
this "day of 20_L�by
�-
Name of per o making statement
Personally Known OR Produced Identification
Type of Identification
Produced
i 9
ature of Notary ublic- State of Florida )Notary ublic- State of Florida )
NANCY LEE LANG VKU /=A4�t)MNANCYLEE
MY coMN9SS1oN # e 2� ission No. AI`ExpMS: October 12. 020 N #
ber
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW