HomeMy WebLinkAboutBuilding Permit Application 10/26/2015 15:01 1 ELITE ELECTRIC INC PAGE 06
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION 70 BE ACCEPTED
Date:to --�=l 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: Mechanical
a:.:.�,_, y,,i r. ;:;•` .:5 i s,, .r,:. £.-.,:` {L �.L}�3 L n'r yf,Y£ N��wr�sti 6r�r+�Y; f3 Sa4+.Y`� l�i a ii�:��4 ,}ok t�Y�z.,a+�r�.`a+�`.�` �swxV�v k l�;
?'7 �;� IJ'ral 5�F rs ct- i ,�r t`� r, k 1< •@ ,vy X11 -n r-•s'frus.ktl�t, 51t.n511 ,r'' � r},y.,43.
c..a.:•„r �+ .-,4 1..^: t.w.3 ..A_.n .S/rx..,rv ,Vrii Y}.lo-.•)'t 'f...?!y4riv.:eo!t_ -.Fr.'f�i.y r�,'ir^.la?r.:.�'�i?:'.:.... Fk.'«�r_rf)�rl.,d.ir fs 'r..r�k:'„�'57.••;
Address: 9148 Pumpkin Ridge Road
Legal Description: MAIDSTONE(PB 43-11)LOT 12(OR 2554-1559:2853-2230)
Property Tax ID#: 3322-505-0021-000-1 Lot No. 12
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
"•vU� r4Y.:. _ ,iaT!'.•i ,.c,"'ti, �d.. ;..'< til i -x - t - - tx yeti rsh 111
43„ �r�ru;:
k �. F. �W�.�?v�lrt .:'�._ s_a.• 'tv+.,. a•�. c'.
Replace AC system, like for like; Lennox 4ton 16seer with 10kw heat
,..,r iU n •i.,lSy.--:G>' 7r rAXLt Vr`t •�Ydrti^r., 'a
10
S`.Y�r•
"rYet ee r 'f`•.., r. 6 r. 3 sv rt �J Y`q Kk r -R '•it
4 y �r kkh � ) ``
t` .`�.... I rr�� �� �'7/�,'fa+,� ^w ' �+ti•r ,4 •i' j` �i
x 17 t 1ce�.rt4 1r , 4m ti ?i, ! .? € ' c_ j'.
f ..i #+.L:'...�,. f .. .h.,Cr.� r..! ...'Ndr.. or,: ..�..•.'. i :r..
Additional rk to be ertormed un ert is permit—checK an tWu appy:{
10HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
aElectric Plumbing Sprinklers ElGenerator a Roof
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 5097.00 Utilities:Sewer Septic Building Height:
�
q"v yrs
h �•r,P�?a 71'r`�iY rti55 ii2 7i 57 p ', f 4• '. srr C” .h u. h i .•«h'4R 1�`7C•d�+i>`,r;1 j,�74F+iF h4��1
7+� r
{•.y.}t)"\l �F' 7' {i�a�• '. t d i / ) �r f'A.
1 r l iii � '. 1 _ `�.s'N�7 •L'a' "v.� i'X' n.A�'. tit�..
5„4.:i`°•A,n rw � J,l,. n.. �,l`�i i.5....0 t t•.d t'�.•�'�s , .��.�G. ,� k.
Name John W Nolan Jr _ Name: John Pankraz
Address:11421 Chestnut Ridge Dr Company: Elite Electric&Air, Inc
City: Pod Wayne State:IN Address: 1691 SW South Macedo Boulevard
Zip Code: 46814 Fax: City: Port Saint Lucie State:PL
Phone No.
t5 Zip Code: 34984 Fax: 772-340-3702
E-Mail: Phone No. 772-340-3797
Fill in fee simple Title Holder on next page(if different E-Mail: Jessicap@EliteEieWr.AndAir.com
from the Owner listed above) State or County License: CAC1816433
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
10/26/2015 15:01 1 ELITE ELECTRIC INC PAGE 07
y•.'i'. X".: .SC;:`A't`FnW }'f4 h.l a.�,.•r.e���4 ���jv .� .'�,4 w??.?%"`;.;3'';•��':vhf '�tt�� k�� $ cr`. F
DESIGNER/ENGINEER: = 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 BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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
improvements to your property.A Notice of Commencement must be recorded 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 our Notice of Commencement.
s
Tgnatur caner/Lessee/Agent Sign ure Vontror/License Holder
STATE F FLORIDA STATE OA
COUNTY OF semi Lina COUNTY OF sa,ntLucle
The for o' g instrument was acknowledged!Poore me The for o instrument was acknowledged before me
this ay of Cid 6& 20 JZby this a 'day of 6=6f.4 20 _1-5'by
John Pankraz 1 John Pankraz
(Name of person acknowledging) ( (Name of person acknowledging)
(Signature of No#arV Public-State of Florid ) (Signature of Nota Publ' -State of Florida)
Personally Known OR Produced Identification Personally Known—7OR Produced Identification
Type of Identiflcati n Produced( Type of Identificatioonn Produced
Commission No. UO`� Seal Commission No. V (Seal)
OY LE
OMIylSS10N#EE
EE830242
Revised 07/15/2014 -r ao 39 ' EXAIRES O X0242
October 12,2016
39 0153 clog 12,20113
aU: FtogdaN
e?iota Me•aom
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS