HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- ,j: _ '
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: 6013 SEAGRAPE DRIVE
Legal Description: INDIAN RIVER ESTATES - UNIT 08 - BLK 19 LOT 34 (MAP 34/11 S) (OR 3644-1466)
Property Tax ID #: 3402-609-0012-000-9
Site Plan Name: LINARES
Project Name: LINARES
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 34
Block No. 19
AC INSTALL OF 3 TON, 16 SEER RHEEM, RAI 636AJ1NA, RH1T3617STANJA, 7 KW
Aaaltional work to be erforme un er t Ts permit — c
HVAC []Gas
ec a app y:
Gas Tank Piping
11
_ Shutters O Windows/Doors
Electric Plumbing Sprinklers
L _I Generator 0 Roof Roof pitch
Total Sq. Ft of Construction:
Sq. Ft, of First Floor:
Cost of Construction: $ 4452.00 Utilities:
_ Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ISABETH LINARES
Name: JOHN A. PANKRAZ
Address:6013 SEAGRAPE DR
Company: ELITE ELECTRIC AND AIR
City: FORT PIERCE State:FL
Address: 1691 SW SOUTH MACEDO BLVD
Zip Code: 34982 Fax:
City: PORT ST LUCIE State: FL
Phone No.562-382-5190
Zip Code: 34984 Fax: 772-340-3702
E-Mail:RENELINARES1@LIVE.COM
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 value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
N a me: ISABETH LINARES
MORTGAGE COMPANY: )< Not Applicable
Name: JOHN A. PANKRAZ
Address: 6013 SEAGRAPE DR€VE
Address: 6013 SEAGRAPE DR
City: FORT PIERCE State:
Zip: Phone
C
City: PORTSTLUCIE State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY. Not Applicable
Name:
Address. 1891 SW SOJTH 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 thepermit 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. lf_y6u intend to obtain financing, consult with lender or an attorney before
commencing work or recor ng your Notice of Commencement. O
Signature of OwftfTlossee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTYOFr t��rcY
The forgoing instrument was acknowledged before me
this P day of 20 1f( by
10141-1 A. A,' t7tfL�kL
Name of person making statement
Personally Known )6 OR Produced Identification
Type of Identification
Produced
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(Signature of Notary Public- State o
,•{may'=',ti KONNI LENAE Q
Commission No. Gr�11�0IsMANotary Public -State
Commission # GG
My Comm. Expires➢t
'' Banned through National
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETE
Rev. 8/2/17
Signature of Contra cto)lLicense Holder
STATE OF FLORIDA
COUNTY OF Sr
The forgoing instrument was acknowledged before me
this 6 day ofF'_ u 2
. �UA-1t L 20 Li by
Name of person making statement
Personally Known Y_ OR Produced Identification
Type of Identification
Produced
re of Notary Public- ta_teQ f WIo id )
VITT N■=+'..�:
d�oo�r` Pni ion No. C'I" ",it `a; KONNI I ENAE➢EVJITT
4` ��blic-State of Florida
10, 2021 . - Commission # GG 166815
Y Comm, Expires Dec 10, 2021
taryAssn_ P...
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