HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB INFO UST B!7E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4E Permit Number:
a
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:
Address: 18504 Mach One. Drive, Port St. Lucie, FL 34987
Legal Description: Aero Acres Blk 1 Lot 9
Property Tax ID#: 3215-801-0016-000-3 Lot No.9
Site Plan Name: Block No. 1
Project Name: Change Out A/C
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out AC like for like Carrier 24ABC642 Condenser, FX4DNF049 Air Handler, 16 SEER,
10 KW heat
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check all appy:
HVAC 0 Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
❑Electric ❑ Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4100.00 Utilities: Sewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Richard and Patricia Compitello Name: Keith C.Thompson
Address:18504 Mach One Drive Company: AC Keith Inc.
City: Port St. Lucie State:FL Address: 690 SW Pueblo Terrace
Zip Code: 34987 Fax:n/a City: Port St. Lucie State:FL
Phone No.772-284-0528 Zip Code: 34953 Fax: n/a
E-Mail:n/a Phone No. 772-519-1351
Fill in fee simple Title Holder on next page(if different E-Mail: ackeithl@att.net
from the Owner listed above) State or County License: CAC1813976
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW 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 thepermit 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
commenging work or recording our Notice of Comm encem t
U/ C P_ WIILI�
s
igna u f caner Less Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF <:�A `--4_k c C— COUNTY OF S\ -`—�� -0—
The
—The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this k I day of T4Nw4rL.^ 20 � by this X'�_day of 20 \-1 by
\-�Z,R A VY - S\-\ 1 a", 'M. ":�S�
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-,State of Florida) (Signature of Notary Public-State of Florida)
Personally Known >:�__OR d'.Ehtd Ider�jN1 �1CK Personally Known OR Produced Identification
Type of Identification Produce; W COMMISSION#FF 095002 Type of Identification Produced
°! EXPIRES:February 25,2018 * o Y�h0111SSI0N#KAREN M. �F�F 095002
Commission No. '�+fe�po�` ""B NotuySefta Commission No. � MMISSI N#FFary ,2018
�nd�`O Bonded Thrueud9"NatarySuvkes
Revised 07/15/2014
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