HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/27/2017 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 X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7681 Greenbrier Cir Port Saint Lucie, FL 34986
Legal Description: POD 19 PUD II GREENBRIER (PB 41-5) LOT 92 (OR 2003-2345: 3642-1654)
Property Tax ID #: 3322-700-0097-000-3
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Exact AC Changeout of Goodman 5 Ton 16 Seer 10kw heater
Condenser Model: GSX16060
AH Model: ASPT61D14A
CONSTRUCTION INFORMATION:
Additional work to be ertormed under
HVAC be
11 Electric 1:1 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 5500.00
OWNER/LESSEE:
Lot No.
Block No.
IJ Windows/Doors
11 Roof
SFt. of First Floor:
UtilitiescnSewer ESeptic Building Height:
Name Peter Smith (TR) Maureen Smith (TR)
Address:7681 Greenbrier CIR
City: Port St Lucie State:FL
Zip Code: 34986 Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Donald Myers
Company: AC Care, LLC
Address: 1500 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-252-3231
Phone No. 772-266-2665
E -Mail: office@accareheatair.com
State or County License: State License #CAC1818622
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN 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 Countyy 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 vour Notice of Comme icement.
_ Signatureof Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF M;W 114
The for ing mstru n was acknowledged before me
this Zday of.20 [--"`by
IN o person ackno dging )
of Florida )
Signature in ctor/License Holder
STATE OF FLORIDA L
COUNTY OFQJPI11�
The forling instrum n was acknowledged before me
this day of.
Ee&A&#U 201_ by
(Name of person acknowledging)
(Signature of Notarylic- State of Florida )
Personally Known Lk/_ OR Produced Identification Personally Known _4Z OR Produced Identification
Type of Identification Produ _ '. , ' e of Identification Produced
bKlI rKCT L :MWC rr 'Ick SRI EY L LANER
Commission No. = rrlgec9MMISSION A FF9$&Zb mission No. '� :r MY COMMf6S10N M FF936S79
EXPIRES February p02.20 10 EXPIRES February 07,1920
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1M1�1ltlSl:aa ra,mnon
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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DATE
COMPLETE
INITIALS