HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6111118 Permit Number:
s
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: 10 LAKE VISTA TRAIL, UNIT 206, PORT ST LUCIE, FL 34952
Legal Description: VISTA ST LUCIE BLDG 10 UNIT 206 (OR 3664-1967)
Property Tax ID #: 3422-500-0139-000-3
Lot No.
Site Plan Name: ZAMBOUROS
Project Name: ZAMBOUROS Block No.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE AC LIKE FOR LIFE, 2 TON, 15 SEER RHEEM RA1424AJ1NA, RBHP1 7JO6SH 1, 5 KW
CONSTRUCTION INFORMATION:
Aaarcional worR to e e vrme un er t is permit – c ec a appy:
P]HVAC f Gas Tank ❑Gas Piping In ShuttersWindows
Q D /Dors
11 Electric Plumbing Sprinklers 0 Generator 0 Roof O Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor: _
Cost of Construction: $ 5515.00 Utilities: Sewer [—]Septic
OWNER/LESSEE:
Name PETER ZAMBOUROS
Address: 10 LAKE VISTA TRAIL, APT 206
City: PORT ST LUCIE State:FL
Zip Code: 34952 Fax:
Phone No. 772-812-1958
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: JOHN PANKRAZ
Building Height:
Company: ELITE ELECTRIC AND AIR
Address: 1691 S I 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 is $25Q0 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INEflRMATION:
pp
DESIGNER/ENGINEER: � Not Applicable MORTGAGE COMPANY: Not Applicable
Name: PETER ZAMBOUROS JOHN PANKRAZ
J Name:
Address: 10 LAKE VISTA TRAIL, UNIT 206, PORT ST LUCIE, FL 34952 Address: 10 LAKE VISTA TRAIL, APT 206
City.- PORTSTLUCiE State: City: PORTSTLUCIE State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 1691 SW SOUTH MACEDO BLVD Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFID'VIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that noworkwork or installation has commenced prior to the issuance of a permit,
wrthiLucie iine County
with any s no applicabletHomethat
Owners Association i rulesaby aws or and cohe venant that mayrthe estrict or pstructure h bit 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 reco din our Notice of Commencement.
I
Signature of Owner/ Les Contractor as Agent for Owner Signature of Contract nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF�LUCIE COUNTY OF
Si -IE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 11 day of JUBNE 20A by this 11 day of JUNE , 20 (d by
JOHN PANKRAZ JOHN PANKRAZ
Name of person making statement Name of person making statement
Personally Known.. X OR Produced identification Personally Known —A__ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
KONNI LENAE DEWITT
Notary Public — State of Florida
Commission ## GG 166915:'x; KONNt LENAE DEWITT
My Comm. Expires Dec 10, 2021 _'*' '= notary Public —State of Ro6c a
through a Iona Q, = Commission # GG 166915
(Signature of Notary Public- toffs ID ' I {Signature of Notary Public- Sta &� Jt6lla&Kjy Comm. Expires l5e—=021
Commission No. 0 (tlir��>?j (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Through National
Commission No. k,iiz(,,'K '
SUPERVISORPLANS VEGETATION � SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW I REVIEW