HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9127117 Permit Number:
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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
Address: $276 MULLIGAN CIRCLE
Legal Description: CASTLE PINES CONDOMINIUM (OR 1571-492) PHASE IV UNIT 2512 (OR 3706-2493)
Property Tax ID 4: 3327-502-0058-000-5
Site Plan Name:
Project Name: iCORF
Setbacks Front Back:
Right Side: Left Side:
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK: I
REPLACE AC LIKE FOR LIKE, 2 TON, 14 SEER AMERISTAR M4AH4032A1000A,
M4AC4030C1000A, 5 KW
CONSTRUCTION INFORMATION:
Additional work toe e Orme under this permit — check a app y:
HVAC L] Gas Tank Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing El5prinklers Generator E]Roof Roof pitch
Total Sq. Ft of Construction: 5 [Ft. of First Floor:
Cost of Construction: $ 5580.00 Utilities: Ll Sewer E:] Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name IRENE KORF
Name: JOHN A PANKRAZ
Address: 8276 MULLIGAN CIRCLE
Company: ELITE ELECTRIC AND AIR
City: PORT ST LUCIE State:FL
Zip Code: 34986 Fax:
Phone No.561-313-6987
Address: 1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax:
Phone No. 772-340-3797
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: PERMIT@ELITEELECTRICANDAIR.CDM
State or County License: CAC 1816433
�� VO Ul: V! 0_,11buuLL1un is or more, a XtLUKUtU Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Signature 6Con a or/License Holder
DESIGNER/ENGINEER: Not Applicable
N ad m e: IRENE KORF
MORTGAGE COMPANY:
N a me: JOHN A PANKRAZ
Not Applicable
Address: 8276 MULLIGAN CIRCLE
Address: 8275 MULLIGAN CIRCLE
The forgoing instrument was acknowledged before me
City: PORTSTLUCIE state:
Zip: Phone
City: PORTSTLUCIE
Zip: Phone.
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
Address: 1-1 SW SOUTH MACEDO BLVD
Address:
Type of Identification
City:
City:
Produced
Zip: Phone:
Zip: Phone:
(Signatu e 5L Utgy Eu ic-_5ta1ej2f For a
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 thepermit 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 Horne 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, wails, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to cord a Notice of Commencement may result in your paying twice for
improvements to your property. A ice of Commencement must be recorded a d posted on the jobsite
before the first inspection. If yo tend to obtain financing, consult with lender r an attorney before
commencing work or recordi>gyour Notice of Commencement.
Signature of Ow r/ L s e/Contractor as Agent for Owner
Signature 6Con a or/License Holder
STATE OF FLORIDA
STATE OF FL IDA
COUNTY OF
COUNTY OF S! . U, j- c -
Theforgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
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Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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Rev. 8/2/17