HomeMy WebLinkAboutDonovan Mini Split Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/5/21 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
PERMIT APPLICATION FOR:
PROPOSED IMPRC?vEMENT'LOCATION:
Address: 14 100 Or- KivtKbtivU LANL, HURT SAINT LUCIE, FL 34984
Property Tax ID #.. 4422-502-0023-000-6
Site Plan Name: DONOVAN, KEVIN
Project Name: DONOVAN, KEVIN
New Electrical Meter Second Electrical Meter
Residential X
Lot No. 20
Block No.
Additional -work to be performed under this permit— check all that apply:
L/Mecha"nical —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: $ C) C-. Utilities: — Sewer — Septic Building Height:
Name KEVIN AND LESLIE DONOVAN
Address: 12188 SE RIVERBEND LANE
City: PORT SAINT LUCIE State: _
Zip Code: 34984 Fax:
Phone No. 302-670-4898
E-Mail: KATSHOT@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: JOHN PANKRAZ
Company: ELITE ELECTRIC AND AIR
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 PERMIT@ELITEELECTRICANDAIR.COM
State or County License CAC1816433 4. ECA
• — a.—. Ud vil IJ 47uu of fFlule, d mn-uKutu ivotice oT Lommencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRCJCT.,ION'.LIEN LAIN INFORMAThON::
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
f)WNFR/ rnlUTRArTnD Actrnanr.
- _ _ ___., __- _ — , ,y r, , , „NNIII-duvrl Is nereoy 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 your Notice of Commencement.
i
r
Signature of Owner/ ssee��lontractor as Agent for Owner
STATE OF FLORID
COUNTY OF SAINTLUCIE
Sworn to (or affirmed) and subscribed before me of
x hysical Presence or Online Notarization
th is ay of t k t--(1 2020' by
..4\
JOHN PANKRAZ
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
KONNI LENAE DEWITT
`I "PUB<i Public- State of Rol
(Signature of Notary Public- S ro $ i€la )✓ommisslon
s" f- o My Comm. Expires Dec 10, :
"''9,OF F4�;�` p ed through National Notary l
Commission No. GG166915 (S� nFi —
Signature of Contractor Lice se Holder
STATE OF FLORI
COUNTY OF SAINT LUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Pre ence or Online Notarization
this *'°' day of 20 by
t
JOHN PANKRAZ
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
re of Notary Public-
Ion No. GG166915
KONNI LENAE DEN
Notary Public - State of
Ay Comm. Expires Dec 10,
Bonded through National Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS I VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED