HomeMy WebLinkAboutFortier, Christine Permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
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:AC CHANGE -OUT / MECHANICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 10041 PERFECT DRIVE, PORT SAINT LUCIE, FL 34986
Property Tax ID #: 3327-703-0017-000-3
Lot No.
Site Plan Name: KICKER
Project Name: KICKER Block No.
DETAILED DESCRIPTION OF WORK:
REPLACE AC, LIKE FOR LIKE, OF A 2 TON, 14 SEER, GOODMAN, GSX14025L,AWUF250516A, 5 KW
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
A dditi nal work to be performed under this permit— check all that apply:
ZMechanical _ 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: $ 5,255.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSSEAN KICKER I + Ct4MSr„r9 t='dn.r i '^k CW% F),
Name: JOHN PANKRAZ
Address: 10041 PERFECT DRIVE
Com an ELITE ELECTRIC AND AIR
p y
PORT SAINT LUCIE
City: State: mil_.-
Zip Code: 34986 Fax:
Phone No. 754-242-4276
Address: 1691 SW SOUTH MACEDO BLVD
City: PORT SAINT LUCIE S: FL
State.
Zip Code: 34984 Fax: 772-340tate.
-3702
Phone No 772-340-3797
E-Mail: GOLFZONE305@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
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: x Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Haaress:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
State:
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 Asso cation 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,ll attorney before commencing work or recordingQur Notice of Commencement.
I
Signature of Owner essee/Contractor as Agent for Owner Signature of Co cto /License Holder
STATE OF FLORI A STATE OF FL ID
COUNTY OF SAINT LUCIE COUNTY OF NT LUCIE
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 14TH day of APRIL2Mby
JOHN PANKRAZ
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced__.-
KONNI I_ENA.E D:of
TT
Notary Public — Statelorida9'5
(Signature of Notary Pu c'--., #,°F�lf�rjder� Expires Dec 10, 20
bonded through National Notary Assn.
Commission No. GG166915 _ k3ea
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 14TH day of APRIL 2ftO by
JOHN PANKRAZ
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
(Signature of Notary Publ
Commission NO. GG166915
SUPERVISOR I PLANS I VEGETATION
REVIEW REVIEW REVIEW
KONNI LENAE DEWITT
Notary Public — State of Florida
!. rnrn. Expires Dec , 2021
Bonded through National Notary Assn.
SEA TURTLE I MANGROVE
REVIEW REVIEW