HomeMy WebLinkAboutBUILDING PERMIT APPLICATION - AC CHANGE OUTAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/20119
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: l`oq— 6
SCANNED
Building Permit Application BY
St. Lucie County
Commercial Residential x
PERMIT TYPE: MECHANICAL
- AC
CHANGEOUI-
PROPPS ED IMPR;OVEMEIVT LOCATIONu
" 7r„r
; +
f
Address: 1ovuv i R imwuiu i T LANt
Property Tax ID #: 3215-801-0061-000-3
Site Plan Name: ADAMS
Project Name: ADAMS
REPLACE AC LIKE FOR LIKE, 1.5 TON, 20.5 SEER MITSUBISHI MINI SPLIT, MUY-GL24NA-U1,
Lot No.8
Block No. 3
MSY-GL24NA-U1, NO KW'S - CUSTOMER CURRENTLY HAS A MINI SPLIT INSTALLED, WE ARE JUST SWITCHING
IT OUT, LIKE FOR LIKE
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: $ 6946.00
_ Generator
Sq. Ft, of First Floor:
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
'OWNER/LESSEE", .
CONTRAC-,TOR
NameSTEVEN ADAMS
Name:JOHN PANKRAZ
Address:18600 TRANQUILITY BASE LANE
Company -ELITE ELECTRIC AND AIR
City: PORT ST LUCIE State:
Address:1691 SW SOUTH MACEDO BLVD
_
Zip Code: 34987 Fax:
City: PORT ST LUCIE State: FL
Phone No.772-429-1966
Zip Code: 34984 Fax:
E-Mail:
Phone No772-340-3797
Fill in fee simple Title Holder on next page ( if different
E-Mail PERMIT@ELITEELECTRICANDAIR.COM
from the Owner listed above)
State or County License CAC1 816433
-�•�_ w, _w••_•.-_..-,, o pcauu ur more, a R[IVRUCU Notice or commencement is required.
If value of HVAC is $7,S00 or more, a RECORDED Notice of Commencement is required.
uZZIMIM IlLNu1NtER: >&- Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: /X- Not Applicable
Address:
City:
Zip: Phone:
BONDING COMPANY: NotApplicable
Name:
Address:
Zip:
vvvldoKr wry I KALI UK AFFIUVIT: 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 YOUR PAYING
TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY mwnoF orrnonrwr vn.m wnrxrr nr rnuu�...- a
Signature of 6s / Lessee/Contractor as Agent for Owner
Signature of Con ttor/Ucense Holder
STATE OF FLORIDA
STATE OF LORIDA
COUNTY OFsr LociE
COUNTY OFST LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 2d day of 20 f °i by
this 2r` day of "1, , 20 1u1 by
JOHN PANKRA
JOHN PANKRA
Name of person making statement.
Name of person making statement.
Personally Known /` OR Produced Identification
Personally Known k OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
g",••., RDNNILENAEDEWnT
Notary Pub!id-SUleof Florida
La DENnT
����. ;r; Notary Public-Sta[eof Florida
Cortealssion # GG 166915
' ' 7 •+ � m. Ex Tres Dec tfl, 2921
-. Commission q GG 1E5915
-- s li.,, -Fiy Comm. Expires Dec 10. 2921
(Signature ofNotaryP litwSit 0 Natim¢Na"Asm.
(Signature of Notary P
Commission No. (Seal)
Commission No. OClt bill (Seal)
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