HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/22/21
Permit Number:
:„..,
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Planning and Development Services BuildinPermit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL34982 Residential X
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR
:AC
PROPOSED IMPROVEMENT LOCATION:
Address: 3805 AVENUE M
Property Tax ID #: 2405-601-0525-000-0
Site Plan Name: HORNE
Project Name: HORNE
DETAILED DESCRIPTION OF WORK:
Lot No. 1&2
Block No. 29
REPLACE AC, LIKE FOR LIKE, 2.5 TON, 14 SEER RUUD RA1430AJ1NA, RH1P3017STANJA, 8 KW
New Electrical Meter Second Electrical Meter
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: $ 5684.00
Generator
Windows/Doors _ Pond
— Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer — Septic
OWNER/LESSEE:
NameANTHONY HORNE
Address:3805 AVENUE M
City: FORT PIERCE
State:
Zip Code: 34947 Fax:
Phone No. 772-708-9499
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name:JOHN PANKRAZ
Company: ELITE ELECTRIC AND AIR
Address:1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE FL
State:
Zip Code: 34984 Fax: 772-340-3702
Phone No772-340-3797
E-Mail PERMIT@ELITEELECTRICANDAIR.COM
State or County License CAC1816433
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC 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 Applicab
State:
X Not Applicable
MORTGAGE COMPANY: x Name: Not Applicable
Address:
City: State:
Zip: phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: -- Phone:
X 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.
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 in
with lender or an attorneytend to obtain financing, consult
before commencing work or recordin your Notice of Commencement.
Signature of�her/Lessee/Contractor as Agent for Owner Signature of Co r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFsrLuclE COUNTY OFSTLUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this day of , 2020 by
JOHN PANKRAZ
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced KONNI LENAE DEWITT
Notary Public — State of Florida
)' Commission # GG 166915
fll # Fmires Dec 10, 2021
(Signature o Notar it�iei;,at��f�l�si�laa)IonalNolaryAssn.
Commission No. GG166916 (Seal)
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 6
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this day of 2020 by
JOHN PANKRAZ
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Proouce4
hivn, y, LENAE ,
Notary Public — St,.
° « .fr'};,)» • Commission # i
( Ignature of Notary P DI,x Ire
Bonded through�a
Commission No. GG166915
(Seal)
REVIEW VREV EWON I SREV EWLE I M EV EWVE