HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/24/18 Permit Number:
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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
PROPOSED IMPROVEMENT LOCATION:
Address: 23 VISTA DE LAGUNA
Legal Description:
Property Tax ID#: 003140 Lot No.
Site Plan Name: CLAIRE Block No.
Project Name: CLAIRE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE AC LIKE FOR LIKE, 4 TON, 14 SEER LENNOX PACKAGE UNIT, LRP14HP48P, 10 KW
CONSTRUCTION INFORMATION:
Additional work to E er ormea under i is perrnit—c ec a app y:
RIHVAC Gas Tank Gas Pi in Shutter
p g s Windows/Doors
®Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 7145.50 Utilities:U Sewer 0Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name KENNETH CLAIRE Name: JOHN A PANKRAZ
Address:23 VISTA DE LAGUNA Company: ELITE ELECTRIC AND AIR
p Y�
City: FORT PIERCE State:FL Address: 1691 SW SOUTH MACEDO BLVD
Zip Code: 34951 Fax: City: PORT ST LUCIE State:FL
Phone No.315-408-3401 Zip Code: 34984 Fax: 772-340-3702
E-Mail:TOBYGER111@YAHOO.COM phone No. 772-340-3797
Fill in fee simple Title Holder on next page Cif 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 MORTGAGE COMPANY: X Not Applicable
N a me:KENNETH CLAIRE Names:3OHN A PANKRAZ
Address:23 VISTA DE LAGUNA State:
23 VISTA DE LAGUNA
City: FORT PIERCE .,pate: City: PORTSTLUCIE State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Nat Applicable BONDING COMPANY: 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 at orney before
commencing work or recordin our Notice of Commencement.
Signature of Own e s e/Contractor as Agent for Owner Signature of Contract / cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFgT U— COUNTY OF' LUCIE
The for ping instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Z` day of 20__ty by this 'I`I day of /NJIOLt t- 20 I!L by
JOHN A PNAKRAZ JOHN A PANKRAZ
Name of person making statement Name of person making statement
Personally Known Z OR Produced Identification Personally Known y OR Produced Identification
Type of Identification Type of Identification
Produced Produced
ti Y'r,r; KONNI LENAE DEWITT M1 1N+r!i KONNI LENAE DEWITT
Notary Public-State of Florida . Notary Public-State of Florida
nws�
• Commission#GG 166915 Commission#GG 166915
Y= Comm.Ex fires Dec 10,2021 t `:�;+ G My Comm.Expires Dec 10,2021
�c>r �. a�anal Nol�ry Assn- IftUgh Nali.onalnary ASsn
(Signature of Notary (Signature of Notary Public-
Commission No. C('i�PIcCt t: (Seal) Commission No. GC iIlp rck (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17