HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/29/20
Permit Number:
Rillu•
i i
Planning and Development Services Building Permit Application
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: 6608 HULDA DRIVE
Property Tax ID #: 1301-611-0284-000-7
Site Plan Name: ORR
Project Name: ORR
DETAILED DESCRIPTION OF WORK:
REPLACE AC, LIKE FOR LIKE, 3.5 TON, 14 SEER YORK YCE421322S, AP48CX21, 10 KW
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
) Mechanical _ Gas Tank _ Gas Piping Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 6379.00
_ Generator
Sq. Ft. of First Floor:
Lot No. 10
Block No. 114
— Windows/Doors
— Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE
CONTRACTOR:
Name PATRICIA ORR
Name: JOHN PANKRAZ
Address: 6608 HULDA DRIVE
Com an ELITE ELECTRIC AND AIR
Company:
FT PIERCE
City: State:
Zip Code: 34951 Fax:
Phone No. 772-205-1510
Address: 191 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)
If value of construction is 52500 nr mnra n Rrrnon[n c
E-Mail PERMIT@ELITEELECTRICANDAIR.COM
State or County License CAC1816433
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:_
Address:
City:
Zip:
Phone:
x Not Applica
State:
�G Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
ZIP: Phone:
Not Applicable
te:
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.
which is in conwict with anyappliableiHome aOlwners Associiatio irules,aby aws or and covlenantss that buildthe
oJrproh 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 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 Own e essee/Contractor as Agent for Owner Signature of Contractor ense Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this 29 day of JUNE 20 ZJ by
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this 29 day of JUNE 20 ZO by
Name of person making statement. I Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
F__
KONNI LENAE DEWITT ... Notary Public — State of FloridaCommission4GG 166915
,=hil, r mm. Expires Dec 10. 2021
(Signature of Notary Pub =, e;¢ FI�IDnVnu9f,Nauor,a
Commission No. GG166915 (Seal)
Personally Known x OR Produced Identification
Type of Identification
Produced KOhJNI 1 ENAE DEWI TT
Notary Public — State of Florida
=; `\
Commission # GG 166915
y+'I Ile ,;
my Comm. Expires Dec 10, 2021
Bonded through National Notary Assn.
(Signature of Notary Pu
Commission No. GG166915 (Seal)
REVIEWS FRONT ZONING SUPERVISOR F
DATE COUNTER REVIEW REVIEW RE
RECEIVED
DATE
COMPLETED
'CANS
_VIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW