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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 Idr�T3 D p - 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