HomeMy WebLinkAboutBuilding Permit Application 11/02/2015 10:09 1 ELITE ELECTRIC INC PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/2115 Permit Number: 1511_ 00Y1)
RECEIVED
Building Permit Application �1 r
Planning and Development Services NOV 3 2015
Building and Code Regulation Division"
2300 Virginia Avenue,fort Pierce PL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
Address: 5 LAKE VISTA TRL 102,PORT SAINT LUCIE, FL 34952
Legal Description: VISTA ST LUCIE BLDG 5 UNIT 102(OR 3794-2403)
Property Tax ID#: 3422-500-0058-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Wk
F; + " v.r r + �x.> z+y: qe'*`` � �r y#" 4' ofu I { '�
, J L •yrt '�? �`S��j+ r J e�'�'�'a ds;,S�'� ,� . 1'`:;S`Ca'�u
e'a! 'I7` ?r C... t. a'+'." A•i "1:a. :u,.. ..i;'x,
Replace existing AC system with a new 2ton 14.5seer AC system Tt
W, *_
4 He,"
E>�- �� �...kuru
Additional workto be a Orme un er is permlt—c ec a appy:
HVAC E]Gas Tank F]Gas Piping _Shutters F Windows/Doors
FlElectric 11 Plumbing Sprinklers FIGenerator Roof
Total Sq.Ft of Construction: SQ.Ft.of First(Floor:
Cost of Construction:$ Utilities:13 LJ Septic Building Height:
ra,. 011 e y;x y ti}t` t alk n {
:w l` 1 w, rP `�,t �,• r
Name Betty Otriz-Velazquez Name: John PankraZ
Address:5 Lake Vista Trail Apt 102 Company: Elite Electric&Air, Inc
City: Port Saint Lucie State:FL Address: 1691 SW South Macedo Boulevard
Zip Code: 34952 Fax: _ City: Port Saint Lucie State:FL
Phone No. 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@EliteElectricAndAir.com
from the Owner listed above) State or County License: CACI 816433
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
11/0Z/2015 10:09 1 ELITE ELECTRIC INC PAGE 03
w"oil
r u Nty, :... ..
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY:Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TiTLE HOLDER: = Not Applicable BONDING COMPANY: X 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 Countv 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.
/'4� s
Si ture ner/Lessee/Agent SirAT
re of
htor/License Holder
STATE LORIDA SOF
COUNTY OF 9ainU.ude COUNTY OF sw-m-ie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisday off3Fl� . 20 ( by this r��day of6&&Z 20 l�by
John Pankraz 1 John Pankraz
(Name of person acknowledging) (Name of person acknowledging)
A"C410�:41
�'/40
(Signature of N a Public-State of Fl rida} (Signature of Notary Public-State of Flori )
Personally Known OR Produced Identification Personally Known OR Produced identification
Type of identification Produced Type of ldentificatio�uced
yp
g30 ;1�;b mission No eal
Commission No. (Sed G
°,• CY LEE LANt;F NANCY LEE LANG
MY COMMIS t = •- FOR
EXPIRSS pctober 12.2016 �.; EXPIRES O ION#EE83028
1' Sae mes ctober 1
.�....
Revised 47/15/2014 FloriOnNotarysLrvice,. 00�3yg-0ts3 FlarigaNaiary$e,v 2201$
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS