HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/3/18
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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: 10121 WILD QUAIL DRIVE
Commercial Residential x
Legal Description: POD 6 PUD 1 AT THE RESERVE WILLOW PINES WEST AT PGA VILLAGE (PB 42-33) LOT 11 (OR 3719-2774
Property Tax ID #: 3322_621-0020-000-1
Lot No.
Site Plan Name: FRITZ —
Project Name: FRITZ
Block No.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
a
REPLACE AC LIKE FOR LIKE, 3 TON, 20 SEER LEENOX XC20-036-230-5, CBA38MV-036, 10 KW
CONSTRUCTION INFORMATION:
� i313 y:
Itlona wor to e e orme un er t is permit – e ec a a
RjHVAC Gas Tank Gas Piping Shutters
QElectric Plumbing �Sprinklers 0Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 7339.00
OWNER/LESSEE:
Name PAUL FRITZ
SCL Ft. of First Floor: _
Utilities:Sewer Oseptic
Address: 10121 WILD QUAIL DRIVE
City: PORT ST LUCIE FL
State:
Zip Code: 34986 Fax:
Phone No.631-484-3508
E -Mail: AUD14144@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: JOHN A PANKRAZ
QWindows/Doors
L1 Roof = Roof pitch
Building Height:
Company: ELITE ELECTRIC AND AIR
Address: 1601 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State, FL
Zip Code: 34984 Fax: 772-340-3702
Phone No. 772-340-3797
E -Mail: PERMIT@ELITEELECTRICANDAIR.COM
State or County License: CAC1816433
If value of construction k12-500 or—more. a RECORDED Notice of Commencement is required.
10
It d D A
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: 10121 WILD QUAIL DRIVE
Commercial Residential x
Legal Description: POD 6 PUD 1 AT THE RESERVE WILLOW PINES WEST AT PGA VILLAGE (PB 42-33) LOT 11 (OR 3719-2774
Property Tax ID #: 3322_621-0020-000-1
Lot No.
Site Plan Name: FRITZ —
Project Name: FRITZ
Block No.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
a
REPLACE AC LIKE FOR LIKE, 3 TON, 20 SEER LEENOX XC20-036-230-5, CBA38MV-036, 10 KW
CONSTRUCTION INFORMATION:
� i313 y:
Itlona wor to e e orme un er t is permit – e ec a a
RjHVAC Gas Tank Gas Piping Shutters
QElectric Plumbing �Sprinklers 0Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 7339.00
OWNER/LESSEE:
Name PAUL FRITZ
SCL Ft. of First Floor: _
Utilities:Sewer Oseptic
Address: 10121 WILD QUAIL DRIVE
City: PORT ST LUCIE FL
State:
Zip Code: 34986 Fax:
Phone No.631-484-3508
E -Mail: AUD14144@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: JOHN A PANKRAZ
QWindows/Doors
L1 Roof = Roof pitch
Building Height:
Company: ELITE ELECTRIC AND AIR
Address: 1601 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State, FL
Zip Code: 34984 Fax: 772-340-3702
Phone No. 772-340-3797
E -Mail: PERMIT@ELITEELECTRICANDAIR.COM
State or County License: CAC1816433
If value of construction k12-500 or—more. a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER
Name: PAUL rRITZ
Add reSS: 19121 WILD QUAIL D€ WE
City. PORT ST LUCIE
Zip: Phone
Not Applicab
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
ACI Cl ress: 1691 SW SOUTH MACEDO BLVD
City:
Zip: Phone:
MORTGAGE COMPANY:
Name: JOHN A PANKRAZ
Address: 10121 WILD QUAIL DRIVE
City: PORTSTLUCIE State:
Zip: Phone:
Not Applicable
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
Not Applicable
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 in end to obtain financing, consult with lender or an attorney before
I mencing work or recording ur Notice of Commencement.
Signature of Owner//Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF S;- L'u(I i
The for oing instrument was acknowledged before me
this day of !A ILI 20 f e by
L' t-+ �') 4
Name of person making statement
Personally Known_ OR Produced Identification
Type of Identification
Produced
,;•1;�Y':;&., KONNI LENAE DEWITT
i3 *- Notary Public- Stale of Florida
z Commission # GG 166915
x ices deo 10, 2021
(Signature of Notary Public tatd':b' -9401A through Natianal Notary Assn.
Commission No. CC iWL'c : (Seal)
REVIEW'S FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Signature of Contractor a Holder
STATE OF FLORIDA
COUNTY OF 5-- e-0
The for oing instrument was acknowledged before me
this - day of 1•-1 Jy 20 11' by
O14,J Pr 10:1-eikiLJarZ,
Name of person making statement
Personally Known OR Produced identification
Type of Identification
KONNI LENAE DEWITT
Notary Public - State of Florida
rDmrlission # GG 166915
(Signature of Notary Public tafi :t#f forid44through NalianalNolaryAAsw.
Commission No. 6'G i I,fv l),� (Seal)
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