HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 115118 Permit Number:
Z I0-1
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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
0
PROPOSED IMPROVEMENT LOCATION:
Address: 2908 JUANITA AVENUE
Legal Description: SHERATON PLAZA - UNIT THREE REPLAT LOT 145 (OR 927-2710)
Property Tax I D #: 1432-806-0013-000-8 Lot No. 145
Site Plan Name: MCCALLISTER Block No.
Project Name: MCCALLISTER
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: I
REPLACE AC LIKE FOR LIKE, 3 TON, 16 SEER CHAMPION TC7133621, AE36BX21+TXV, 8 KW
CONSTRUCTION INFORMATION:
ii Aaditrona wor to ]e�e orme un er t is permit - c ec a appy;
RIHVAC L. _J Gas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 5165.00
OWNER/LESSEE:
Name SHIRLEY MCCALLISTER
Address: 2908 JUANITA AVE
S Ft. of First] Floor: _
Utilities: 0 Sewer LJ Septic
City: FORT PIERCE State:FL
Zip Code: 34946 Fax:
Phone No.772-828-5009
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: JOHN APANKRAZ
Building Height:
Company: ELITE ELECTRIC AND AIR
Address: 1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax:
Phone No. 772-340-3797
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X. Not Applicable MORTGAGE COMPANY: Not Applicable
N a me: SHIRLEY MCCALLISTER Name: JOHN A PANKW
Address: 2908 JUANITA AVENUE Address: 2908 JUANiTA AVE
City, FORT PIERCE State: City: PORT 8T LUCIE State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: LK Not Applicable
Name: Name:
Address: 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 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 regording your Notice of Commencement.
Signature of Own
STATE OF FLORIDA
COUNTY OF T
ntractor as Agent for Owner
C 115 -
The forgoing instrument was acknowledged before me
this 5i' r day of `J,9,j .'Ali'! ZO 1� by
Name of perso making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- St
Signature of Contr__11 / icense Holder
STATE OF FLORIDAt
COUNTY OF c,T- t. J r r
The forgoing instrument was acknowledged before me
this 9-, day of, 20 r by
Name of person making statement
Personally Known X_ OR Produced Identification
Type of Identification
Produced
gnature of Notary Public- State of Florida )
Commission No.
Cc, l+rbolrs
KONNI LENAE DEOTT
'r`; g aryPubltc-StateoiFlori cI
_ aC mission No. �G l�� +
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5 - �IikotaryPublic — Slate of
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Commission # GG 16691
Noy Comm. Expires Dec 10, 2 21
s • ," " _ Commussion # GG 161
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Bonded lhrouylrNational Notary A Sm.
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My Comm. Expires Dec I
bonded through National Nolr
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Rev. 8/2/17