HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1117118
Permit Number:
w
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 El
PROPOSED IMPROVEMENT LOCATION:
Address: 44 MEDITERRANEAN BLVD EAST
Legal Description: ST LUCIE GARDENS 26 36 40 BILKS 1 AND 2 LYG ELY OF US #1 RNV - LESS RD RS1W AND LESS AS IN ORS 2535-2430
2544-2463: 2547-1528....
Property Tax ID ##: 3414-501-1701-000-9
Site Pian Name: SAVAGE
Project Name: SAVAGE
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
REPLACE AC LIKE FOR LIKE, 2.5 TON, 15 SEER CHAMPION TC4133021, AVC36CK21, 5 KW
CONSTRUCTION INFORMATION:
Additional work to b rto-rmed under this permit- c ec -all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 5145.30
5 Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RENE SAVAGE
Name: JOHN PANKRAZ
Address: 44 MEDITERRANEAN BLVD EAST
Company: ELITE ELECTRIC AND AIR
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No.418-770-7017
Address: 1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No. 772-340-3797
E -Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E -Mail: PERMIT@ELITEELECTRICANDAIR.COM
State or County License: CAC1816433
c� vauc air a u Iaal ui UuII in .14ZKPU VI 111Vre, a rcCwKutu rvoiice or commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERfENGINFFR
Name:
Add ress:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address: 1.6 SW SOUTH MACEDO BLVD
City:
Zip: Phone:—
Name.—
Address:
hone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable � BONDING COMPANY:
Name:Address:
City:_
Zip:
Phone:
Not Applicable
State:
X 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 intend to obtain financing, consult with lender or an attorney before
Commencing work or recording our Notice Of Commencement.
Signature of Owner/ L ee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFST wCIE
The forgoing instrument was acknowledged before me
this "� day of 201S by
JOHN PANKRAZ
Name of person snaking statement
Personally Known � OR Produced Identification
Type of Identification
Produced
`PqV!•��'•. KONNI LENAE DEWITT
Notary Public — State of Florida
` Commisslbn ii CG 166915
my Comm. Expires Dec 10, 2621
(Signature of Notary Pub - Skate
Commission No. C -6I (Seal)
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
IaATE
COMPLETED
Rev. 8/2/17
Signature of Contracticense Holder
STATE OF�lFLORIDA
COUNTY OFsrwcm
The forgoing instrument was acknowledged before me
this -) day of '-J a J rl t :, 206 by
JOHN PANKRAZ
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
,ti�KY i•,, KONNI LENAE ❑EWITT
s . Notary Public — State of Florida
» Commission 1t GG 166915
(Signa ure of Notary Public- t rt117 EAM[Us but 1
d lhrauyh Nacional NoiaryAssn,
Commission No. C G t t„L„c r s _ _ ! (Seal)
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW