HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/20117 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: 147 NETTLES BLVD
Legal Description: NETTLES ISLAND INC, A CONDO-SECTION 11 PARCEL 147 AND PRO-RATA SHARE IN COMMON
ELEMENT (OR 1389-912: 3938-2547; 3961-1498; 3972-1619)
Property Tax ID #: 4502-501-0333-000-4 Lot Na
Site Plan Name: FREDETTE Block No.
Project Name: FREDETTE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE AC LIKE FOR LIKE, 2 TON, 14 SEER RHEEM HEATPUMP RP1424AJ1 NA,
RFIT2421 MTANJABO5417, 5 kw
CONSTRUCTION INFORMATION:
Additional work to be Defformed under this permit– cheEk checkall that appy:
HVAC Gas Tank Gas Piping Shutters
_ Windows Doors
11 Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq.of First Floor:
Cost of Construction: $ 5200.00 Utilities: !-1 Sewer F Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DIANNE F2EDETTE Name: JOHN PANKRA7
Address: 147 NETTLES BLVD Company: ELITE ELECTRIC AND AIR
City: JENSEN BEACH State:FL Address: 1591 SW SOUTH MACEDO BLVD
Zip Code: 34057 Fax: City: PORT ST LUCIE State: FL
Phone No.413-531-0525 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 vale of construction is $250Q or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
N am e: DIANNE FREDETTE
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: JOHN PANKRAZ
Address: 147 NETTLES BLVD
STATE OF FLORIDA) ���
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Address: 147 NETTLES BLVD
City: JENSEN BEACH
Zip: Phone
State:
City: PORT ST LUCIE State:
Zip: Phone.
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:X Not Applicable
Name:
Add cess: 1691 SW SOUTH MACEDO BLVD
Name of pe making statement
Address:
City:
Type of Identification—
City:
Zip: Phone:
Produced
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 of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or rqciqdingNotice of Commencement.
Rev. 8/2/17
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Signature ContrHolder
Signature of Owner/ Le /Contractor as Agent for Owner
of or/License
STATE OF FLORIDA) ���
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this�day of / 2cby
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Name of p rs making statement
Name of pe making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification—
Type of Identification
Produced
Produced
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DATE
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Rev. 8/2/17