HomeMy WebLinkAbout1802-0248ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2112118
C:0tUNTY
F L a R I D Aft
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: 7436 BOB 0 LINK WAY
Legal Description: MAIDSTONE (PB 43-11) LOT 36 (OR 3408-2358)
Property Tax ID #: 3322-505-0045-000-5
Lot No. 36
Site Plan Name: DORNISCH
Project Name: DORNISCH Block No.
Setbacks Front Back: Right Side; Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE AC LIKE FOR LIKE, 5 TON, 15 SEER RHEEM HEATPUMP RP1560AJ1NA,
RH 1 T6024STANJA, 7.5 KW
CONSTRUCTION INFORMATION:
A itrona work toJeee Orme un ert is ermit-c ec a ppy:
®HVAC L _J Gas Tank Gas Piping 11S:::hutters; L1 Windows/Doors
Electric 0 Plumbing Sprinklers 0 Generator El Roof O Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 7450.00
SFt. of First Floor: _
UtiIitiestSewer ❑Septic
OWNER/LESSEE:
Name WILLIAM C DORNISCH
Address: 7436 BOB O LINK WAY
City: PORT ST LUCIE State;FL
Zip Code: 34986 Fax:
Phone No. 954-665-5164
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: JOHN A PANKRAZ
Building Height:
Company: LLi I E ELECTRIC AND AIR
Address: 1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: T
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: Not Applicable MORTGAGE COMPANY: y
Name:WILLIAM C DORNISCH / Not Applicable
N a me: JOHN A PANKRAZ
Address: 7436 BOB O UNK WAY
City: PORT ST LUCIE
Address: 7436 BOB O LINK WAY
State: City_ PORTSTLUCIE
Zip: Phone State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:i( Not Applicable
Name:
Address:1691 sW SOuTH MACEDO BLVD
City:
Zip: Phone:
BONDING COMPANY; Not Applicable
Name:
Address:
City:
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.
no
wthichcis inconflictwith any applicablelH me Oat wners Association lrwill
esaby bylaws or and permit
enantss that mays the otrc roh bit 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 nn -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
commencin work or recordin our Notice of Commencement.
Signature of Owner/ Less a/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF-W.1E
The forgoing instrument was acknowledged before me
this 1L day of 1f�faaVI.Ll 20_1`d by
JOHN A PANKRAZ
Name of person making statement
Personally Known —� _ OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public -
Commission No. 64, 16b"'S_
REVIEWS FRONT i ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
KONNI LENAE DEWITT
ry Public— State of FloI
Commission # GG 16691
My Comm. Expires Dec 10,
Banded tf rough National NolaryA
Signature of Contractor,/' icens� e —Holder
STATE OF FLORIDA
COUNTY OFETEuerE
The forgoing instrument was acknowledged before me
this it- day of 2p !cam by
JOHN A PANKRAZ
Name of person making statement
Personally Known x' OR Produced Identification
Type of Identification
Produced
gnature of Notary Public-StaLLAaf_UaddaI
ion No. CC it,,, L, cr [ j KUNNI LENAE DEWITT
' 1 )y Public- Slate of Plor
` * COMMission # GG 16691f
My COM- Expires Dec 10, 2
SUPERVISOR PLANS VEGETATION SEA TURTLE 111/IANGRp
REVIEW REVIEW REVIEW REVIEW REVIEW