HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/17/22 Permit Number:
Building permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential xx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: M ECHAN I CAL
PROPOSED IMPROVEMENT LOCATION:
Address: 3801 MEADOWLARK CIRCLE
Property Tax I D #: 3425-706-0109-000-5
Site Plan Name: VALANZOLA
Project Name: VALANZOLA
DETAILED DESCRIPTION OF WORK:
REPLACE AC, LIKE FOR LIKE, 3 Ton, 14 Seer York Package unit PCE4A36, 10 Kw Heater
New Electrical Meter Second Electrical Meter
I 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: $ 7450.00
_ Generator
Sq. Ft. of First Floor:
Lot No.51
Block No. 46
Windows/Doors Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name CHUCK VALANZOLA
Name:JOHN PANKRAZ
Address:3801 MEADOWLARK CIRCLE
Company: ELITE ELECTRIC AND AIR
City: PORT ST LUCIE State: _
Zip Code: 34952 Fax:
Phone No.772-446-9411
Address:1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone N0772-340-3797
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail PERMIT@ELITEELECTRICANDAIR.COM
State or County LicenseCAC1816433
it value or construction is csuu or more, a KELUKDED 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: Not Applicable
Name:
MORTGAGE COMPANY: k Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: )C Not Applicable
Name:
Address: _
BONDING COMPANY: )C Not Applicable
Name:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult 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 recording vour Notice of Commencement.
K2�_ -
Signature otZontractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF Sf L,u C (re —
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this 11 day of _ �T4rjc14d,-t , 202Lby
_1 Wr tj P AIAC It'r Z
Name of person making statement.
Personally Known )C _ OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida
KONNLENAE
is - St to ofDEWIFi
Notary Public
Commission No. 141-44 dY(Seal) Public State of Florida
Commission # HH 165134
Expires Dec 10, 2025
My Comm.
3ocded through national Notary Assn.
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