HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02-14-2017 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_
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 4502 paleo pines cir
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name: john mcdaniel
Setbacks Front Back:
1 DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
replace 4 ton Ac system changeout. Rheem 4 ton 16 seer 10 kw heat
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit — check a appy:
HVAC E] Gas Tank []Gas Piping _ Shutters ❑ Windows/Doors
11Electric E]PlumbingSprinklers ❑ Generator 11 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2450
Sq. of First Floor: _
Utilities: Sewer E]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Namejohn mcdaniel
Address: 4502 paleo pines cir
Company:
City: ftpierce State:fl
Zip Code: 34951 Fax:
Phone No. 570-350-6471
Address: i `( S S=:
;��� �c c.'=
City:,- :,�' — C ".-�
Zip de:3 ,-3
Zi o'� S
Phone No.
State: r L
Fax:
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail:
State or County License: L k \ L i
IT value of construction Is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 your Notice of Commencement.
Signature of
as Agent for Owner I" Signature
Holder
STATE OF FLORIDAI STATE OF FLORIDA
COUNTY OF L��, COUNTY OF : C
The forgoing instrument was acknowledged before meI The forgoing instrument was acknowledged before me
this I -( day of �6 , -/ , 20 Eby this � 7(day of 3� ��� . 20 f \ by
(Name of person acknowledging) (Name of person acknowledging )
I 'ey'a" ,
( ure of Notary Pu lic- State of Florida) (§ig--nature of Notary Public- State ofJFlorida )
Personally Known L ---'OR Produced Identification
Type of Identification Produced
Commission No.
((S�Se''--al) Headw Ta
LdiwNM NOTARY PUBLIC
Personally Known '-AOR Produced Identification
Type of Identification Produced
Commission No. t—f—f 9'.1 s'1 (Seal)
Revised 07/15/2014A
7/ 15/2014Canrt40 FF192528 NOTARY PUBLIC
Explres 1/25/2019 STATE FF FLORIDA
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
ft a Expire
SEA TURTLE
1/25/2019
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS