HomeMy WebLinkAboutAPPLICATION.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
(�T" LUG�L
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: MECHANICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 7008 DONLON RD FORT PIERCE FL 34951
Property Tax ID #. 1301-612-0296-000-7
Site Plan Name:
Project Name: BUCHANON
DETAILED DESCRIPTION OF WORK:
REPLACE A/C LIKE FOR LIKE, 3TON,
New Electrical Meter Second Electrical Meter
Residential xx
Lot No. 8
Block No. 131
CONSTRUCTION INFORMATION: ''= n.5.. = :-.
AdYmechanical
nal work to be performed under this permit— check all that apply:
_ 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: $ �� �9 U� Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name RONALD BUCHANON
Name: JOHN PANKRAZ
Address: 7008 DONLON RD
Company: ELITE ELECTRIC AND AIR
City: FOR PIERCE State: _
Zip Code: 34951 Fax:
Phone No. 7728285552
Address: 1691 SW S MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax:
Phone No 7723403797
E-Mail: ronbuchanon@yahoo.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
it vawe or 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.
1. NOW111"yff,
DESIGN ER/ENGI NEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Namr:�° -_---------_ _ Name
Address: _ _ ___ Address:
_.----__..-^_
City. State; , � City; State:
Zilp° ~r'(arsr7e_ _ __..._� Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: ,,.Not Applicable
Nairne ._ _._ .
Narne:._._
. _ _.._
Address: _._ _ _ __.
Address:
ity;.._.__—._.._.,,.-_ __
City:.----,*"---
City:
Zip' _ _ _ —, Phone;
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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.
S9:, Lucie County rakes rro 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
const . with your Homeowners Associa-Hon and review your deed for any restrictions which may apply.
In consideration of the pranl;ln�, 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 .jobsit.e before the First inspection. If you intend to obtain financing, consult
- -with lender or an attorney befpre commencing work or recordin�ygur Notice of Commencement.
o ntrar;t6F� or " OWner Builder as applicable —^F
STATE OF FLO
COUNTY OF__ d__J
Sworn to (or affirmed and subscribed before me of _—i—.- l ysical Presence or Online Notarization
_
o:fris _ J day of _ -- r 20
C-r_,__-1_—,7V
Name of person making statement.
Personally Kno�nirr /
OR Produced Identification
_--.--.-- _t/
'Type of Ident.ificat' roduced..._.....____._..._--_-._,..
(Signat.ure r,f otar r r .te of Florida)
L.camrt�rssipn No. Seal
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ti '`• MY COMMISSION #43933,,T..:.EhC'IRcS:
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Notary Puberwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
I:DA"TE'
RECEIVELD
DATE
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