HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6l$11$
Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 8605 Tompson Point Rd
Legal Description: TOMPSON POINT PUD AT PGA VILLAGE (PB 43-10) LOT 21 (OR 3720-1159)
Property Tax ID #: 3327-704-0022-000-4
Site Pian Name: BALISTEE
Project Name: BALISTEE
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 21
Block No.
REPLACE AC LIKE FOR LIKE, 4 ton, 16 Seer LENNOX ELI 6XC1-047, CBA27UHE-048, 9 KW
aartaanaf work to
HVAC
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Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 8605 Tompson Point Rd
Legal Description: TOMPSON POINT PUD AT PGA VILLAGE (PB 43-10) LOT 21 (OR 3720-1159)
Property Tax ID #: 3327-704-0022-000-4
Site Pian Name: BALISTEE
Project Name: BALISTEE
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 21
Block No.
REPLACE AC LIKE FOR LIKE, 4 ton, 16 Seer LENNOX ELI 6XC1-047, CBA27UHE-048, 9 KW
aartaanaf work to
HVAC
be e orme un
Gas Tank
er t Is permit - c ec
Gas
a
app y:
11 Electric
® Plumbing
Piping
Shutters
1
Zip Code: 34986 Fax:P
City:
Sprinklers
Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 7352.00
SFt, of First Floor: _
UtiiitiestSewer Septic
OWNER/LESSEE: CONT
Name BRIAN BALISTEE
Mame:
Address: 8605 TOMPSON POINT RD
Comp
City: PORT ST LUCIE State:FL
Addres
Zip Code: 34986 Fax:P
City:
Phone No.203-980-0776
Zip
BALISTEE
E -Mail: @56CGL08AL.NET
Phone
Fill in fee simple Title Holder on next page ( if different
E -Mail:
from the Owner listed above)
State o
� Windows/Doors
Roof Roof pitch
Building Height:
-RACTOR:
JOHN PANKRAZ
ny: ELITEELECTRIC AND AIR
s: 1691 SW SOUTH MACEDO BLVD
)RT ST LUCIE State: FL
e: 34984 Fax:
Vo. 772-340-3797
PERMIT@ELITEELECTRICANDAIR.COM
County License: CAC1816433
If value of construction is $250Q or more, a RECGi?nrn Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER%ENGINEER; _
Name: BRIM BAusTEE Not Applicable MORTGAGE COMPANY: Not Applicable
N a me: JOHN PANKRAZ
Address: 8505 Tompson Point Rd Address: 8605 TOMPSON POINT RD
City: PORT ST LUCIE State: City. PORT ST LUCIE
Zip: Phone Zip: Phone: State:
FEE SIMPLE TITLEHOLDER: _ Not 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is 'ria con, 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 ecor in our Notice of Commencement.
Signature of Owne Lessee/Contractor as Agent for Owner Signature of Contractor/L a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sr Ltd EL r COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this C, day of SUtj;Y 20 [Y by this 'S day of Tuu v 20 [ by
'Soirit, P
Name of person making statement Name of person making statement
Personally Known_ OR Produced Identification Personally Known ' --OR Produced identification
Type of Identification Type of Identification
Produced
ONNI LENAE DEWITT Produced
Notary Pubktc — State of Florida
. - Commission # GG 166915 �5 ?, ® KONNI LENAE DEWITT
My Comm. Expires Dec 10, 20214 z;, Notary Public — State of Florida
_. Commission # GG 166915
(Signature of Notary Publ (Signature 'o' -Notary Publi j I M. xp e
n ud rough National Notary Assn
Commission No. �^ ilr r r (Seal)
Commission No. Iy W } (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
—7—
COMPLETED
tev. 8/2/17