HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t
Date: 01/20/2017 Permit Number: 11 a3—dd
® RECEIVED A 01 7.017
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
PROPOSIED IIll PROVEMENT LOCATION.
Address: 7229 RESERVE CREEK DR
Legal Description: RESERVE CREEK PARCEL 4 LOT 3 AND THAT PART OF SEC 22-36-39
Property Tax ID#: 3322-601-0004-000-1 Lot No.3
Site Plan Name: Block No.
Project Name: MICHAEL F HALCOMB
Setbacks Front Back: Right Side: Left Side:
' 3 '
DETAILED DESCRIPTION,QF WORKix-
rwP
A/C CHANGE-OUT OF A RUUD UNIT
CQN$TRUCTIQN INFORMATION
F',
L b h i
Additionalwork toe e orme un er t is permit-check a appy:
❑✓—HVAC Ei Gas Tank []Gas Piping Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 3,500 Utilities:n Sewer O Septic Building Height:
OWNER/LESSEE CONTRACTOR
r ,,. w. . _. .. . , . ,, . . ...
Name Michael F Halcomb Name: GRETA B.SMITH
Address:7229 Reserve Creek Dr Company: ALL YEAR COOLING & HEATING
City: Port St Lucie State:FL Address: 1345 NE 4TH
Zip Code: 34986 Fax: City: FORT LAUDERDALE State:FL
Phone No. Zip Code: 33304 Fax: 954-617-3798
E-Mail: Phone No. 954-566-4644
Fill in fee simple Title Holder on next page(if different E-Mail: DDANIELS@AYCAIR.COM
from the Owner listed above) State or County License: CAC058160
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUDDLEMENTALCQNSTRUCTION LIEN tA1N INFORMATION -
DESIGNER/ENGINEER: _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: 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 recorijeo and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with led or an attorney before
commencing work or recording our Notice of CommenceTent.
3✓ s
_Signature of Owner/Lessee/Agent Signature of Contracf r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY COUNTY OFBROWARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 21)_day of JANUARY 20 17by this 2° day of JANUARY 20 17 by
Paul Milardo 1 GRETA B.SMITH
(Name of person ack on acknowled ing)
(Signature of Notary ,PublZORProduced
of Florida) (Signature of Notary Public-State of Florida)
Personally Knowny Identification Personally Known OR Produced Identif"
Type of Identificatio ced Type of Identification
wIMITRIUS
N#FF173126
FF17 _e �)• MY CO P
Commission No. FF 1 2Qs ~!'", +`s D;FIM A DANIEILS Commission No. EXPIRES October 30,2018
MSIONFF173126[ _ ce.Com
,=nuc?vic2.cOm
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS