HomeMy WebLinkAboutBalistee, Brian 2 tonALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6!8118
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenge, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION
Address: 86015 Tompson Point Rd
Commercial Residential x
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 Plan Name: BALISTEE
Project Name: BALISTEE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:.
Lot No. 21
Block No.
REPLACE AC LIKE FOR LIKE, 2 ton, 16 Seer LENNOX EL16XC1-024, CBA27UHE_024-230, 4 KW
CONSTRUCTION INFORMATION:
Itiona wor o e er orme un er t Is permit — c ec affS
pp Y
HVAC Gas Tank Gas Piping _hutters
Electric Plumbing 1:1Sprinklers 1:1 Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 7352.04
SCLFt. of First Floor: _
Utilities:Sewer Eheptic
OWNERAES5EE:
Name BRIAN BALISTEE
Coit
Nam4
Address: 8605 TOMPSON POINT RD
City: PORT ST LUCIE State: FL
11,
Zip Code: 34986 Fax:
=?0,111111
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenge, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION
Address: 86015 Tompson Point Rd
Commercial Residential x
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 Plan Name: BALISTEE
Project Name: BALISTEE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:.
Lot No. 21
Block No.
REPLACE AC LIKE FOR LIKE, 2 ton, 16 Seer LENNOX EL16XC1-024, CBA27UHE_024-230, 4 KW
CONSTRUCTION INFORMATION:
Itiona wor o e er orme un er t Is permit — c ec affS
pp Y
HVAC Gas Tank Gas Piping _hutters
Electric Plumbing 1:1Sprinklers 1:1 Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 7352.04
SCLFt. of First Floor: _
Utilities:Sewer Eheptic
OWNERAES5EE:
Name BRIAN BALISTEE
Coit
Nam4
Address: 8605 TOMPSON POINT RD
City: PORT ST LUCIE State: FL
Comi
Zip Code: 34986 Fax:
Addr(
City:
Phone No.203-980-0176
Zip
BALISTEE
E -Mail: @SBCGL08AL.NET
Phomni
Fill in fee simple Title Holder on next page ( if different
E -Mai
from the Owner listed above)
State
Windows/Doors
LJ Roof Roof pitch
Building Height:
KAC TOR:
JOHN PANKRAZ
,any: ELITEELECTRIC AND AIR
!ss: 1691 SW SOUTH MACEDO BLVD
'ORT ST LUCIE State: FL
ode: 34984 Fax:
No. 772-340-3797
1: PERMIT@ELITEELECTRICANDAIR.COM
ar County License: CAC 1816433
If value of construction is $2500 or more. a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: BRIAN RALISTEE
Address: 88o5 Tompson Point Rd
City: PORT ST LUCIE
Zip: Phone
— Not Applicable
State
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Ad d ress. 1691 SW SOUTH MACEDO BLVD
City:
Zip: Phone:
MORTGAGE COMPANY:
Name: JOHN PANKRAZ
Address: 8605 TOMPSON POINT RD
City: PORTSTUUCIE
Zip: _ Phone:
BONDING COMPANY:
Name:
Address:
City:
ZIP: Phone:
Not Applicable
State:
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 thelobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
Commencing work or recording your Notice Of Commencement.
I
Signature of Owner/ Less Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The for ging instrument was acknowledged before me
this day of 'SUP' If, 20 k�( by
Sdi,ili (,P,-,f4c2AY,.
Name of person making statement
Personally Known Y OR Produced Identification
Type of Identification
Produced
:'itNerry,., M1it1ENAEDEWITT
Notary Public -State of Florida ^,
Ccmmissiarl # GG 166915 ti
_; ,' 11 r z My Comm. Expires Dec 10, 202' �
(Signature of Notary
Commission No, CC- I (, vr�- (Seal)
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev, 8/2/S7
Signature of Contractor✓✓, 0eense Holder
STATE OF FLORIDA
COUNTY OF �� (, f r'
The forgoing instrument was acknowledged before me
this __2,_ day of Tuw i 20 T gby
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced .� ..
'e`%
LENAEno -.,fry Public - Slateteofof Florida
l
Commission # GG 166915
MY Comm. Expfres Dec 10, 2021
(Signature of Notary Publi
°' a "lugr arona oary ❑.
Commission No.f° (Seal)
PU
REVI
INS
IEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW