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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. C+a►u F nil T c 0 a a a 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 c 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