HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/19/17 Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade 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: 792 SE River Court
Legal Description: HIDDEN RIVER ESTATES BLK 3 LOT 11 (OR 3976-172)
Property Tax ID #: 3427-701-0046-000-6 Lot No. 11
Site Plan Name: BAPTISTE Block No 3
Project Name: BAPTISTE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE AC LIKE FOR LIKE, 4 TON, 16 SEER RHEEM, 10 KW, RAI 648AJINA, RBHP2424J1 1 SH4
CONSTRUCTION INFORMATION:
ditional work to ( rformed under t ispermit— check all that appy:
HVAC L=I Gas Tank Gas Piping Shutters O
Windows/ Doors
FlElectric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 6244.00 Utilities:Cn Sewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LEONARA BAPTISTE Name: JOHN PANKRAZ
Address: 792 SE RIVER COURT Company: ELITE ELECTRIC AND AIR
City: PORT ST LUCIE State:FL Address: 1691 SW SOUTH MACEDO BLVD
Zip Code: 34983 Fax: City: PORT ST LUCIE State: FL
Phone No. 786-390-8541 Zip Code: 34984 Fax:
E-Mail: Phone No. 772-340-3797
Fill in fee simple Title Holder on next page ( if different E-Mail: PERMIT@ELITEELECTRICANDAIR.COM
from the Owner listed above) 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: � Not Applicable
Name-.
MORTGAGE COMPANY: � Not Applica'b!e
Name:JpHNPANKRA2
,{LEbNARABAPTISTE
Address: 792 SE Rrver court
Address: 7'92 SE RIVER COURT
MACE00 BLVD
City: PORT ST LUCIE State:
Zip: Phone
City: PORT ST LUCIE State:
Zip: Phone:.
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
City:
Zip: Phone:
Name:
Name:
Address: X691 SW SOUTH
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 of Commencement must be recorded and posted on the jobsite
before the first ins ection. If you intend to obtain financing, consult with lender or an attorney before
commencing.►mark r recordingour Notice of Commencement.ff
f
Signature of Owner/ a see/Contractor as Agent for Owner
Signature of Co actor/ ' rise Bolder
STATE OF FL Ari �
COUNTY OF ��t
STATE OF FL IDA
COUNTY OF ��r
The foXgoing instrument was acknowledged before me
this � day?of ) % 20 by
The for Ding instrumen as,acknowledged before me
this% day of 20�by
TA �4 i,�I- C fi Z,Oil
Name of p rso making statement
Personally Known OR Produced Identification
Type of Identification
Name of perso aking statement
Personally Known � OR Produced Identification
Type of Identification
Produced
Produced
{.Signature of Notal Public- State of Flor da)
(Signature of Notary ublic-State of Floridj)
Commission No. C, � �Y
NANCY LEE !-A Cil
hiY CQI,,7tvt[SSION 4 GG2
- �
mission No. >�jANCYLEE LANGF
�Y con�rNa[sstox # 00
72 pr-�,�°� EXPIRES: October 12,2)2('
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2
REVIEWS
FRONT
COUNTER
ZONING S
REVIEW REVIEW
NS
REVIEW
VEGETATION
REVIEW
SEATURTLE ,MANGROVE
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/1,7
MACE00 BLVD
Address;
City:
City:
Zip: Phone:
Zip: Phone: