HomeMy WebLinkAboutFitzgerald PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/24/17 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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 2901 Middle Road
Legal Description: 19 35 40 From NE Cor of NE 114 of SE 114 of SW 114 Run S 555 ft, TH W 401.75 ft to POB, TH Cont W 124.26
ft, TH Run S 105 ft, TH E 124.25 ft, TH N 105 ft to POB (0.30 AC) (OR 3640-878)
Property Tax ID #: 2419-341-0023-010-0
Site Plan Name: Fitzgerald
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
REPLACE AC LIKE FOR LIKE, 3.5 ton Champion package unit, PCE4A4221, 14 Seer, 10 kw
iditional work to be ertormed under this permit— cl
RIHVAC Gas Tank RGas Piping
11 Electric 0 Plumbing 1:1Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5550.00
LL1 Shutters Windows/Doors
E] Generator Roof Roof pitch
5 Ft. of First Floor:
Utilities:t Sewer E Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Andrew Fitzgerald 1 Christiana Trust
Name: John Pankraz
Address:2901 Middle Road
Company: Elite Electric and Air
City: Fork Pierce State: F�
Zip Code: 34982 Fax:
Phone No.772-538-0608
Address: 1691 SW South Macedo Bled
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.com
State or County License: CAC1816433
If value of construction is.52500 or more, a RECORDED Notice of 4ommencemeni is requirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
N a,.1me: Andrew Fitzgerald I Christiana Trust
Na m e: John Pankraz
Address: 2901 Middle Road
Address: 2901 Middle Road
City: Fart Pierce State:
Zip: Phone
City: Port St Lucie State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Add res s: 1691 SW south Macedo Blvd
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and instaiiation as inuicat:eu.
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 inspectio you intend to obtain financing, consult with lender or an attorney before
anr�ncs Ieenrl- nr r rnr ncr unlit Nntirp of Cn1Yli'1'1PnrPment. / I
LV111111411L111 YYVII\`]V/l 4+v .. ...... •.•�•.. .•�• �—••-•••-------------
4
Signature of Owner/ Le&11ontractor as Agent for Owner
Signature of Coutr /' cense Holder
STATE OF FLORIDA �� ���
OFSTATE OF ORID��
COUNTY OF
COUNTY
The forgoi instrument was acknowledged before me
' ' day 2iJ by
The for og instr e t as a nowledged fore me
this ' 1 of 20 % by
this of
-id, 8tL) 4 A JU fi 0
-�JQ 14
Name of person aking statement
Personally Known OR Produced Identification
Name of peso making statement
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Vc1z1_
{Signature of Notar Public- State o
" i�ANCY LEE LANGF
43 Ir COMMISSION k GG2
nature of Notary P blic State of P
R➢ Gil �� / � NANCY LEE LANG
3Cb mission No. / yy coNMSSIox # G
Commission No.66
EXPIRES: ocrtobe, 12,2
6 EXPIIt1:S: October 12,
"ohfl
OFA
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17