HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 5909 FORT PIERCE BLVD
Legal Description: LAKEWOOD PARK - UNIT 5 - BLK 48 LOT 17 (MAP 13/11 N) (OR 3599-107)
Property Tax ID #: 1301-605-0217-000-8
Site Plan Name: SWAPP
Project Name: SWAPP
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 17
Block No. 48
0
REPLACE AC LIKE FOR LIKE, 3 TON, 20 SEER LENNOX, XC20-036-230-5, CBX32MV-036-icf, 8
KW, will be moving the condensor from the back side of home to the north side of home
CONSTRUCTION INFORMATION:
ittonawor to e e orme un er
LIHVAC Gas Tank
0 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 11,938.00
anis permit —cl
E]Gas Piping
Sprinklers
alt apply:.
Shutters
Generator
SFt. of First Floor: _
Utilities:USewer 0 Septic
OWNERAESSEE:
Name SHERRON SWAPP
Address: 5909 FORT PIERCE BLVD
City: FORT PIERCE
State:FL
Zip Code: 34951 Fax:
Phone No.407-446-6444
E -Mail: SHERRONSWAPP@HOTMAIL.COM
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
CONTRACTOR:
E]Windows{Doors
0 Roof Roof pitch
Building Height:
Name: JOHN A PANKRAZ
Company: ELITE ELECTRIC AND AIR
Address: 1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE
5tate;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.
�>ILIPPLEMENTAL CONSTRUCTION LIEN LAW INFOR
DES IG NER/ENGINE£R:Not Applicable Md
Name: sHERRON swAPP
Address: Nar
5969 FORT PIERCE BLVp
City: FORTPIERCE Adc
S
Zip: Phone tate: City
Zip:
FEE SIMPLE TITLE HOLDER:
Name:
Address: 189, SW SOUTH MACE➢O BLVD
City:
Zip: Phone.
Not Applicable BOF
Narr
Addi
City:
Zip..
MATION:
VEGETATION
REVIEW
IRTGAGE COMPANY:
ne: JOHN A PANKRAZ
Not Applicable
dress: 6909 FORT PIERCE BLVD
• PORT ST LIJCIE
Phone:
S
tate:
WING COMPANY.
le:
Not Applicable
,ess:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated -
1 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 inspect if you intend to obtain financing, consult with lender or an attorney before
commencin work or ec ding your Notice
F—
Of Commencement.
Signature of Ownerfffsee/Contractor as Agent for owner
STATE OF FLORIDA
COUNTY OF-LIJCIE
The forgoing instrument was acknowledged before me
this 26 dayof aPiZ(C_ _ 2016 by
JOHN A PANKRAZ
Name of person making statement
Personally Known .X OR Produced Identification
Type of Identification
Produced
,�•�itY.rr�s<. KONN1 LENAE DEWITT
}1" = Notary Public— State of Florid
Commission # GG 166915
z M Comm. Expires Dec 10, 20 1
(Signature of Notary Public- St e cid �ti 'ridnd
6
a 4
ed Ihraegh National Nalary As
Commission No. 6C'It0,(pcit i (Seal)
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Signature of Contractor/L' rise Holder
STATE OF FLORIDA /
COUNTY OFST LUCIE
The forgoing instrument was acknowledged before me
this 270day of 60a ( <- 20 1 by
JOHN A PANKRAZ
Name of person making statement
Personally Known - , OR Produced Identification
Type of Identification
KONNI LENAE DEWITT
Notary Public— Stale oI Florida
Commission # GG 166915
My Comm. Expires Dec 10, 2021
Public-
Commission No. (ovii,j (Seal)
PLAI
REVIE
NS
W
VEGETATION
REVIEW
SEA TURTLEFREVIEW
REVIEW