HomeMy WebLinkAboutBuilding permit applicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date-, 1/30/20 Permit Number:
M COUNTY
x
F L _ ' 0 -1a; I r.
Building Permit Application
Commercial Residential x
PERMIT TYPE: MECHANICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 1107 DRIFTWOOD LANE
Property Tax ID #: 3404-808-0012-000-6
Site Plan Name. EASON
Project Name: EASON
DETAILED DESCRIPTION OF WORK:
REPLACE AC, LIKE FOR LIKE, 3.5 TON, 16 SEER RUUD RA1642AJ1, RH1T4821STAN, 10 KW
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical — Gas Tank _ Gas Piping _ Shutters
— Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 7010.00
Sprinklers Generator
Sq. Ft. of First Floor:
Lot No. 12
Block No.
Windows/Doors
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WILLIAM EASON
Name: JOHN PANKRAZ
Address: 1107 DRIFTWOOD LANE
Company: ELITE ELECTRIC AND AIR
City: FORT PIERCE State:
Zip Code: 34982 Fax:
Phone No. 864-977-1049
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
-_ -- -••�•• w .�....� ,,—w — illwi a, a nr-�.vnueu nvuve VT'-ammencement 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 to do the installation
permit work and 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,"
Signature of Owner/ see/Contractor as Agent for Owner
Signature of Contractor cerise Haider
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF - LUCIE
COUNTY OF - LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 30 day of S/kNij!! �-- 20 7 � by
this 3o day of :SANJA-A'? 20 zOby
JOHN PANKW
JOHN PANKW
Name of person making statement.
Name of person making statement.
Personally Known h OR Produced Identification _
Personally Known >- OR Produced Identification
Type of Identification
_
Type of Identification
Produced
ITT
i.ENAE GE'Jf
Produced
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Public —State of Florida
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(Signatu re—oT Notary Publ - 5fa e„,
(Signature of Notary Publi
Commission No. ! `+1S (Seal)
Commission No. 6c ) i'rV 4 3 (Seal)
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Rev. 211119