HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/21/20 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 APPLICATION FOR: MECHANICAL - AC CHANGE OUT
PROPOSED IMPROVEMENT LOCATION:
Auuress: - nvm+ , rvni WHIN i LUUt, FL 34964
Property Tax ID #: 4422-502-0017-000-1 (BAY ST LUCIE LOT 14) Lot No.
Site Plan Name: ROCKWELL, RUSSELL Block No.
Project Name: ROCKWELL, RUSSELL
DETAILED DESCRIPTION OF WORK:
REPLACE AC, LIKE FOR LIKE, OF A 2 TON, 14 SEER RUUD, RA1424AJ1, RH1P2417STAN, 5 KW
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
A dditi nal work to be performed under this permit —check all that apply:
7Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 4,918.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE,
CONTRACTOR:
Name RUSSELL ROCKWELL
Name: JOHN PANKRAZ
Address: 12096 RIVERBEND ROAD
Company: ELITE ELECTRIC AND AIR
City: PORT SAINT LUCIE State: R
Zip Code: 34984 Fax:
Phone No.704-621-7476
Address:1691 SW SOUTH MACEDO BLVD
City: PORT SAINT LUCIE State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No 772-340-3797
E-Mail: RUSSELLROCKWELL@GMAIL.COM
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
It r qurreu.
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
u xaluimrn/tivUnVttK: x Not Applicable
Name:
Address:__
City: State:
Zip: Phone
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone. -
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x
Nantp• —
Not Applicable
-.
Address: Address:
City:
Zip: Phone: City:
Zip: Phone:
-- • - • • . nPpucauun is nereoy mace to obtain a permit to do the work and installation as indicated.
I certify that noywork or installation has commenced prior to the issuance of a permit.
St. Is in conflict with and( applicable tHomeaOwners Associationir will authorize
or the permit
ovenants that build
hrestrlctbor 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Luciel�Crounty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with
- -- - - --...... ." • •.�,
W1 1 _ VI urn uui rNuuce or commencement.
Signature of Owner/ Les e/, ontractor as Agent for Owner
Signature of Contract r/Li ense Holder
STATE OF FLORIDA ',., `/
STATE OF FLORID
COUNTY OF (y , P
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence
Sworn to (or affirmed) and subscribed before me of
or Online Notarization
this 2� day of S P p M �r� 2020 by
Physical Presence or Online Notarization
this day 6jr-
of 2�jp M 2020 by
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Name of person making statement.
Name of person making statement.
Personally Known V_ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification --
Produced
Produced
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PLANS
VEGETATION
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MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
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