HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:,
RECEIVED
Building Permit Application FEB 17 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT`LOCATION:
Address: 5501 Pinetree Drive, Ft. Pierce, FL 34982
Legal Description: 5501 Pinetree Drive, Ft. Pierce, FL 34982 , Indian River Estates
Property Tax ID#: 3402-602-0252-000-2 Lot No.34/35
Site Plan Name: Block No. 7
Project Name: Change out HVAC
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: : ::.
Change out of HVAC like for like. Carrier, 10KW heat, 17 SEER/2Stage, 4 ton unit, condenser and air
handler.
CONSTRUCTION INFORMATION: ,
Additional work to e e orme under tispermit-checka appy:
HVAC M Gas Tank Gas Piping _Shutters Windows D
❑ P g a / oors
❑Electric 0 Plumbing Sprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4800.00 Utilities:n Sewer E Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Matthew and Nicole Fillion Name: Keith C.Thompson
Address:5501 Pinetree Drive Company: AC Keith Inc.
City: Ft. Pierce State:FL Address: 690 SW Pueblo Terrace
Zip Code: 34982 Fax:n/a City: Port St. Lucie State:FL
Phone No. Zip Code: 34953 Fax: n/a
E-Mail: Phone No. (772)519-1351/(772)985-7011
Fill in fee simple Title Holder on next page(if different E-Mail: ackeithl@aft.net
from the Owner listed above) State or County License: 27079/CAC1813976
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUP LIE
N�LAW-INFORMATION;:
DESIGNER/ENGINEER: x 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: 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 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 rezording your Notice of Commencement.
s
ignature of OwnerJLes Contractor as Agent for Owner gnature f Contractor) ' ense Holder
STATE OF FL
ORI A STATE OF FLORIDA
COUNTY OF ,�j_ - , ak _ COUNTY OF
The forgoing instru as acknowledged before me The forge ng instrument was acknowledged before me
this day of 20 t1by this I& day of FG61*441 ,20 11 by
(Name of person acknowledging)' (Name of person acknowledging)
(Signature of Notary Public-State of Florida I (Signature of Notary Public-
Personally Known OR Produced Identification V/ Personally Known +/ OR Produced Identification
Type of Identification Produced 1 Type of Identification Produced
'aYpi''o�
CATHERINE THORNTON
W CAMMISSI01�
Commission No. � tit' ea? KAREN S. Nlttis i
n No. _ �
t{4a Commission# F t t 5 63 7 EXPIRES:January 2&,2020
"= Commission Expires
afl,dr Bondidit8LdgetNotuyStrikd
Mv^�i�F pF ftoQi`� June 12, 2Q18
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS