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Home My WebLink Aboutpermit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/27/17 Permit Number: 4 J 4 7 LEMM0.0 UP M-M11111111WN W_ Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34482 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x Address: 9232 SHORT CHIP CIRCLE Legal Description: LAKES AT PGA VILLAGE (PB 43-32) BLK D LOT 78 (OR 3861-2218) Property Tax ID #: 3334-501-0216-000-0 Lot No. 78 Site Plan Name: TRAVIS Block No. D Project Name: TRAVIS Setbacks Front Back. Right Side: Left Side: DETAILED DESCRIPTION OF WORK: REPLACE AC LIKE FOR LIKE, 3.5 TON, 16 SEER, RHEEM RA1642AJ1 NA, RH1T4821 STANJA, 10 KW CONSTRUCTION INFORMATION: Additional work to b jrtormed under this permit –check all n appy: RIHVAC 1-1 Gas Tank ®Gas Piping Shutters F]Windows/Doors 11 Electric Plumbing 05prinklers I Generator 1:1 Roof Roof pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 6189.00 SFt. of First Floor: _ Utilities:cnSewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name PATRICIA TRAVIS Name: JOHN A PANKRAZ Address: 9232 SHORT CHIP CIRCLE Company: ELITE ELECTRIC AND AIR City: FORT ST LUCIE State: FL Zip Code: 34986 Fax: Phone No.603-686-1612 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_COM State or County License: CAC1816433 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 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, wails, 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 commencingwork or re din ur Notice of Commencement. ri is i (i Rev. 8/2/17 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: � Not Applicable Name: PATRtC1A TRAVIS N a �1e: JOHN A PANKRAZ AddCe$5:9232 SHORT CHIP CIRCLE Address: 9232SHQRTCHIPCIRGLE City: POI�TSTLUCIE State: City: PORT STLUCIE State; Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: +ssi sw SOUTH Signature of Owner/ Tress Contractor as Agent for Owner Signature of ContraWWI License Halder r STATE OF FLORIDA STATE OF FLORIDA COUNTY OF+� COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 27'1"+day of ili+'�t r rn.�l� 20 f ? by this �1"'day of _ r�6t ��w r n- , 20 by Name of person making statement Name of person making statement Personally Known )C _ OR Produced Identification Personally Known X DR Produced identification nnACEao e�vo Type of Identification Address: Produced City: City: Zip: Phone: •gnature of Notary Public- Stat o FI ri a Zip: Phone: i�e��e�i�jaryPubloc-SkateafFlori _ � Commission # GG 168915 � 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, wails, 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 commencingwork or re din ur Notice of Commencement. ri is i (i Rev. 8/2/17 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: � Not Applicable Name: PATRtC1A TRAVIS N a �1e: JOHN A PANKRAZ AddCe$5:9232 SHORT CHIP CIRCLE Address: 9232SHQRTCHIPCIRGLE City: POI�TSTLUCIE State: City: PORT STLUCIE State; Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: +ssi sw SOUTH Signature of Owner/ Tress Contractor as Agent for Owner Signature of ContraWWI License Halder r STATE OF FLORIDA STATE OF FLORIDA COUNTY OF+� COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 27'1"+day of ili+'�t r rn.�l� 20 f ? by this �1"'day of _ r�6t ��w r n- , 20 by Name of person making statement Name of person making statement Personally Known )C _ OR Produced Identification Personally Known X DR Produced identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- St •gnature of Notary Public- Stat o FI ri a r r'•tiµ��'iy;'°. KONN6 LENAE i)EWITT . CommissionNc9?f� 1�;Kci+\ �•' r- � ,:';;.;tiV��%'•• l<DNNILENAEDEWfT aC mission No�f= 140io1r� �',-. ;,�e��aryPublic-5tatsafl=l i�e��e�i�jaryPubloc-SkateafFlori _ � Commission # GG 168915 � Cc�mmissivn # GG 1669 `•.^" +`"° "r= M Comm. Ex res Dec 10, 2@21 - ••;+,x Y Pi My Comm. Expires Dec 1l}, Brnu1eJ Through National NoEaryA n, Baiadadlhrou hNati n't REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED