HomeMy WebLinkAboutBuilding Permit Application 111.11/2017 19:47 1 ELITE ELECTRIC INC PAGE 01
ALL APPLICABLE INFO MUST BE COMPLETER FOR APPLICATION TO BE ACCEPTED
Date: 11/13/17 Permit Number: l
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
IN
..n N! w..1\9., b.
L "4 \ 1 5 94^ .lflY`� tr
Address: 4917 Buchanan Dr
Legal Description: INDIAN RIVER ESTATES-UNIT 1 :BLK 1 LOTS 5 AND 6(MAP 34/02N)(OR 3296-2661:3462-29 )
Property Tax ID#: b2-602-0005-000-6 Lot N .5&6
Site Plan Name: LANAVILLE Block o. 1
Project Name: LANAVILLE
Setbacks Front Back: Right Side: Left Side:;
REPLACE AC LIKE FOR LIKE, 3.5 TON AMERISTAR, M4AC4042C1000A,`M4AH4044A1 OOOA,
14SEER, 7kw
` 11M.
a-C"1)T.11, }2GM,l ryk.,_P-67"t V
"; �-t:'41
M�ppp-x
itiona wor to aneorme under this permit—check a apply:
RVHVAC Gas Tank [:]GasPiping ShutteEl
r�s. Windows/Doo
indows/Doo i5
7 b,•i'.yy...`vt;`�31y i, +,?�•
x,�•`:St�ry';"'y,
u Electric Plumbing O Sprinklers Generator 0 Roof Root pitch
Total Sq.Ft of Construction: 4049 S .Ft.of First Floor:
Cost of Construction:S 4740.00 Utilities:0Sewer OSeptic Building Height: .
W
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Name KENNETH LANAVILLE Name: JOHN PANKRAZ
Address:4917 Buchanan Company: ELITE ELECTRIC AND AIR
City: Fort Pierce State:FL Address: 1691 SW SOUTH MACEDO BLVD
Zip Code:349$2 Fax: City: PORT ST LUCIE St to-FL
Phone No.772-242-8366 Zip Code: 34984 Fax:
E-Mail: Phone No, 772-340-3797
Fill in fee simple Title Halder on next page(if different E-Mail: PERMIT@'Sa ELITEELECTMCANDAIR,C
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.
12/11/2817 19:47 l ELITE ELECTRIC INC '
PAGE 02
DESIGN ERIENGINEER: A Not Applicable MORTGAGE COMPANY: NotAp licable
Address:4917 Buchanan Or
49
Address: 17 Buchanan
City: Fort Piarce State: City: PoRTs-r LUCIE
Zip: Phone Zip: Phone: Si ite:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: Not Api licable
Name: Name:
City: City:
Zip: Phone: Zip:_Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installati 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 subje structure
which is in conflict with any applIcable Home Owners Association rules,bylaws or and covenants that may restrict or hibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may a IV.
In consideration of the granting of this requested permit,I do hereby agree that I will,In all respects,perform the wor
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-residenti use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying 11 for
improvements to your property A N tice of Commencement must be recorded and posted on th jobsite
before the first inspectjoil) If yo� - e to obtain financing, consult with I de attorney be re
commencing work or/ecj6rdiEFbur Notice of Commencement. 7� ��
Signature of Owne s Contractor as A ent for Owner Signature of am&or/Licens,e Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF L
this ay of 2 this/ 0 ay
Name of pers9n m king statement Name of pe(s9K making statement
Personally Known OR Produced Identification Personally Known X OR Produced Identifla tion
Type of Identificat: Type of ldentfficat�ioh
Produced Produced
(Signature of Notgry Public-State of ature of Notilry,'Oublic
FNA1\N'-'C.`y LIPEE LANGF RD N CY E LANGFORDOP EXT I RE S C,*iber 12,2 EXPIRES: 12,2020OF|
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
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