HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/17/18 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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:.
Address: 489 HEMINGWAY TERRACE
Commercial Residential X
Legal Description: TROPICAL ISLES (OR 2786-2163) UNIT G-03
Property Tax ID #: 3410-508-0156-000-5
Site Plan Name: HALL
Project Name: HALL
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No._
Block No.
REPLACE AC LIKE FOR LIKE, 3.5 TON, 14 SEER LENNOX PACKAGE UNIT, LRP14AC42P, 10 KW
CONSTRUCTION INFORMATION:
Aaamonal work to e e Orme un er
HVAC 0 Gas Tank
OElectric 0 Plumbing
Total Sq. Ft of Construction.
Cost of Construction: $ 5753.00
tnis permit –cl
❑Gas Piping
Sprinklers
OWNER/LESSEE:
NameTROPICAL ISLES CO-OP, INCISHEILA HALL
a
1-1 Shutters Windows/Doors
OGenerator Roof Roof pitch
5 Ft. of Firstj"Floor: _
Utilities:LSewer 0Septic
Address:489 HEMINGWAY TERRACE
City: FORT PIERCE State:FL
Zip Code: 34982 Fax:
Phone No. 763-313-9064
E -Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: JOHN A PANKRAZ
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.
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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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:.
Address: 489 HEMINGWAY TERRACE
Commercial Residential X
Legal Description: TROPICAL ISLES (OR 2786-2163) UNIT G-03
Property Tax ID #: 3410-508-0156-000-5
Site Plan Name: HALL
Project Name: HALL
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No._
Block No.
REPLACE AC LIKE FOR LIKE, 3.5 TON, 14 SEER LENNOX PACKAGE UNIT, LRP14AC42P, 10 KW
CONSTRUCTION INFORMATION:
Aaamonal work to e e Orme un er
HVAC 0 Gas Tank
OElectric 0 Plumbing
Total Sq. Ft of Construction.
Cost of Construction: $ 5753.00
tnis permit –cl
❑Gas Piping
Sprinklers
OWNER/LESSEE:
NameTROPICAL ISLES CO-OP, INCISHEILA HALL
a
1-1 Shutters Windows/Doors
OGenerator Roof Roof pitch
5 Ft. of Firstj"Floor: _
Utilities:LSewer 0Septic
Address:489 HEMINGWAY TERRACE
City: FORT PIERCE State:FL
Zip Code: 34982 Fax:
Phone No. 763-313-9064
E -Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: JOHN A PANKRAZ
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:
DESIGN ER/ENGINEER:NotApplicable MORTGAGE COMPANY: Not Applicable
Name: TROPICAL ISLES CO-OP, INCISHEILA HALL _ Name: JOHN A PANKRAZ
Address:489 HEMINGWAY TERRACE Address: 489 HEMINGWAY TERRACE
City: FORT PIERCE State: City: PORT ST LUCIE State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 1691 SW SOUTH MACEf1.O 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 recordin our Notice of Commencement.
Signature of Owner see/Contractor as Agent for Owner Signature of ContractorJLic se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLVCIE COUNTY OF--
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this —H day of __ Apt, AP 2 r- _ 20 1% by this II day of /}-p it c U. 20-1 by
JOHN A PANKRAZ JOHN A PANKRAZ
Name of person making statement Name of person making statement
Personally Known _X OR Produced Identification Personally Known _ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
,;•tip Y';•; •., KONNI LENAE DEWITT
2�» : =, Notary Public— Stale Of rI _ • �nir'i'i; f.. KONR61 LENAE DEWITT
_ a �, • Notary Public— State of Florida
» Commission # GG 16
Commission # GG 166915
(Signature of Notary Public- St `1, Y nature of Notar P r aided through National NatTry u blic- S f$" i y�1 l
,.,• af�dedlhroughNatsanalNalaryhysn.
Commission No. (Seal) Commission No. GG,oir (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Rev. 8/2/17