HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/10/21 Permit Number:
I_,UL11L
O J' R
L L Q Cti'
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: MECHANICAL
PROPOSED IMPROVEMENT LOCATION:
Address: y31�) vvUKLU UUN WAY
Property Tax ID #: 3327-801-0056-000-9
Site Plan Name: O'GRADY
Project Name: O'GRADY
Residential xx
DETAILED DESCRIPTION OF WORK:
REPLACE AC, LIKE FOR LIKE, 3 TON, 14 SEER RUUD RA1436AJ1NA, RH1 P3617STANJA, 10 KW
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
K Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 6265.25 Utilities: —Sewer —Septic
Lot No. 48
Block No.
Building Height:
Pond
Pitch
OWNERAESSEE:
CONTRACTOR:
Name MICHAEL O'GRADY
Name: JOHN PANKRAZ
Address: 9319 WORLD CUP WAY
Company: ELITE ELECTRIC AND AIR
City, PORT ST LUCIE State: ('L
Zip Code: 34986 Fax:
Phone No. 860-573-8843
Address: 1691 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)
14: _ 1. ..'r ..
E-Mail PERMIT@ELITEELECTRICANDAIR.COM
State or County License CAC1816433
imuut,e ul wrnmencemem is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
Address:
city:...._._-.
Not: Applicable
-- State:...._._.___
Zip; Phone
FEE SIMPLE TITLE MOLDER:
Name:
Address:
City: _�—
zip: T_ Phone.
)C Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: -..____ Phone:
BONDING COMPANY:
Name:
Address;
City:
Zip: _ _ Phone:
Not Applicable
State:
of 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 representlition that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with an applicable I lameowners Assoc:ia1i6rl rules, bylaws or and covenants that may restrict or prohibit such
structure. Please cor t with your Homeowners 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 record! your Notice Of Commencement.
Signature caf Ovv essee/Conl:rartor as Agent for Ownel _
STATE OF FLOR11DA
COUNTY OF Sr uve rf_
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this _10 day of._.._..._. .�:Q r
20_._
_...._....._.._._.._ ..__, ,1. - by
lotAll, P1+tvr,« 4
Name of person making statement.
Personally Known ...... ._. OR Produced Identification
............................
Tvr>Q-of .: ification Produced
(Signature of Notary Public-. State of Florida)
Commission No..F 6G i to6S iS (Seal)
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE ._..
COMPLETED
ZONING I SUPER
REVIEW REM
��iv'r%r '. KONNI LENAE DEWITT
M
Notary Public — 5tate of Florida
:` My Comm. Exxpies Dec61012021,.
Bonded through National Wary Assn.
WISOR
E1/1/
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW