HomeMy WebLinkAboutLindquist, Carl Permit App All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/07/2019 Permit Number:
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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 TYPE:Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7932 BLACK TERN DR
Property Tax ID##: 3424-701-0034-000-0 Lot No.18
Site Plan Name: LINDQUIST Block No. 54
Project Name: LINDQUIST
DETAILED DESCRIPTICN OF WORK:
REPLACE AC LIKE FOR LIKE. AC INSTALLATION OF 4 TON, 14 SEER LENNOX PACKAGE LRP14AC48P, 7.5 KW
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
`Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric — Plumbing Sprinklers —Generator _Roof Pitch
Total Sq. Ft of Construction:. Sq. Ft. of First Floor:
Cost of Construction: $ 6041 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
NameCARL LINDQUIST Name-JOHN PANKRAZ
Address:7932 BLACK TERN DR Company:ELITE ELECTRIC AND AIR
City: PORT SAINT LUCIE State: f(, Address:1691 SW S MACEDO BLVD
Zip Code: 34952 Fax: City: PORT SAINT LUCIE State:FL
Phone No.631-645-4351 Zip Code: 34984 Fax: 772-340-3702
E-Mail: Phone No 772-340-3797
Fill in fee simple Title Holder on next page ( if different E-Mail PERMIT@a ELITEELECTRICANDAIR.COM
from the Owner listed above) State or County License CAC1816433
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: , Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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 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 Own Lessee/Contractor as Agent for Owner Signature of Contractor icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Si Uvc.t� COUNTY OF Or- t'uc 11L
The forgoing instrument was acknowledged before me The forgoing instrume t was acknowledged before me
this I�'L day of E'�I,'-u4A-1 ZO 1`s by this I� day of r=�E�:2u/#�h 20__Ll by
°�C�4 i ^ rev c- i1,�-Z �C it.•.t ��,�sC 2$;i. _
Name of person making statement. Name of person making statement.
Personally Known X._.—OR Produced Identification Personally Known_ X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
P664�:SU
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AE DE'N KONNI LENAE DEWITT
—State of Florida s Y,c`"-
#GG 1&5915 ` Notary Pulalic—Stateof Floridafires Dec 10,2D21 . Commission#GG 166915(Signa ureof Notary Parona�riuran ssn: (Sig
o Notary ubT .r,,. to �[IomalN iaryAssn.
Commission No. C (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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