HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/19/17
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: 3200 N A1A,APT 409
Legal Description: SEA PALMS UNIT 409 AND PRO-RATA SHARE IN COMMON ELEMENTS(OR 3468-1389)
Property Tax ID#: 1425-600-0035-000-4
Lot No.
Site Plan Name: MICHELSOHN
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side;
DETAILED DESCRIPTION OF WORK:
REPLACE AC LIKE FOR LIKE, 2.5 TON LENNOX 5 KW WITH BREAKER LSM, 14ACX030,
ADP-LSM 2.5T
CONSTRUCTION INFORMATION:ACIC1 .
1tiona wor to e er orme un er t is permit—c ec aT Iapp y:
�HWAC Gas Tank E]Gas Piping Shutters n Windows/Doors L�E
Electric El Plumbing Sprinklers [i Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 5850.00 Utilities:Sewer Septic Building Height;
OWNERf LESSEE: CONTRACTOR:
Name LARRY MICHELSOHN Name: JOHN A PANKRAZ
Address:3200 N Al Company: ELITE ELECTRIC AND AIR
City: FORT PIERCE State:FL Address: 1691 SW SOUTH MACEDO BLVD
Zip Code: 34949 Fax: City, PORT ST LUCIE FL
Phone No.575-420-4064 Zip Code: 34984 Fax: State:
E-Mail: Phone No. 772-340-3797
Fill in fee simple Title Holder on next page (if different E-Mail: PERMIT@ EL ITEELFCTRICANDAIR.COM
from the Owner listed above) State or County License: CAC1816433
L::alue of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: A Not Applicable
Name:LARRY MSCHELSOHN _ Name:JOHN A PANKRAZ
Address:3200 N A1A,APT 409 Address: 3200 N A1A
City: FORTPI:ERCE State: City: PORTSTL11C1E State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:1591 Sw SOUTH MACEoo 6LVD 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 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 -Commencement must be recorded and posted on the jobsite
before the first inspection. If you int to obtain financing,consult with lender or an attorney before
commencing work co ingyoUr Notice of Commencement.
Signature a caner/L ee/ tractor as Agent for Owner Signature of Contra r icense Holder
STATECOUNTY OF FLORIDA � Lt � COUNSTATETY OFOF ORIDAS f+ LvCIL
The for - g instru lent was acknowledgefore me The for oing instr nt was acknowledged fore me
thay of 20 by this ay of y
Name of-hers aking statement Name of per a making statement
Personally Known 7Z OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
All
(Signatu a of N tt'aarry Public-State of lorida Signat re of Notary Public-State of I� LEE LANGF
(5 C3 OR
�'�Yp dWCY LEE LANGFO 1 -9szaN#Gaz
Commis on No. mmi Sion No. a
my cOmmissiON#00203 ° 12,2
ExP1REs�October 12,2020
CpFf,
REVIE S FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIE REVIEW REVIEW REVIEW
DATE
RECEIVE
DATE
COMPL TED
Rev.8/2/1