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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 03/01/2017 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: I Address: 54 Spanish Way, Fork Saint Lucie, FL 34952 Legal Description: St Lucie Gardens 26 36 40 That part of ELKS 1 and 2 LYGELY OF US#1 BEING LOT 54 SPANISH WAY PropertyTax ID #: E-" q *A — �C t ` i 9 f " C00 Iq Lot No. — r Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Change Out A1C, Goodman package Unit, MDL# GPC1442H41, 3.5 TON, 10kw Heat Strip. Change Out only, using existing duct work. CONSTRUCTION INFORMATION: Additional work to bjepertormed under this permit – check all apply: QHVAC E] Gas Tank Gas Piping MGenerator Shutters Windows Doors P g nQ f11 Electric ❑ PlumbingSprinklers LJ Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 4544.00 OWNER/LESSEE: Name Denise Burke Address: 54 Spanish Way S Ft. of First Floor: Utilities: Sewer 11 Septic Building Height: City: Port Saint Lucie State: FL Zip Code: 34952 Fax: Phone No. 772-777-2290 E -Mail: Fill in fee simple Title Halder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Adam Emanuel Company: Adam's Air Conditioning Address: 582 NW Mercantile PL City: Port Saint Lucie State: FL Zip Code: 34986 Fax: 772-878-3951 Phone No. 772-337-6559 E -Mail: infoa@adamsairconditioning.net State or County License: CAC 1814146 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPRLEM NTAL:CONSTRUCTION LIEN -LAUV INFORMATI.DN:. DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY Name: Name: Address: Address: City: State: City: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: 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. Not Applicable State: Not Applicable 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 dome 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 recordirig.y_.our-N©otice af-C-vmmencement. Signature df 6, 'ne / Agent/ Lessee,- ' Signature of Contractor/License Hol STATE OF FLORIDA : STATE OF FLORIDA •COUNTY OFt r ,� f'f C'_ COUNTY OF = L The fo7,oing instrurnant was acknowledged before me this; -day of f ' t' 20 = by (Name of person acknowledging) The forming instrum _ritiMMS acknnwledged before me this � day of w_sl I L ;$`^ o , 2i), i,���'by A r� -,jam �J (Name of person acknowledging) (Signature of Notary Public- State of Florida } (Signature of N6f ary public- State of Florida } Personally !mown '-- OR Produced Identification Personally Knbwf OR Produced Identification Twe of Identification Produced Type of Identification Produced Commission No, ea Commission N P"� YAINETTE HAMILTON" LI'NNETTE HAMILTON �ps Nnr carann iwi y y, IM r�r c r u �,cw. � y Sy, EXP ES; 3aauary r �� a�, 2oao Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS