HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 414!2017
Permit Number:
�n
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 X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 2546 NW Seagrass Dr, Palm City 34990
Legal Description: Bayhead Village Bldg 3, unit 7B (OR898-131;3351-2682)
Property Tax [D#: 4425-601-0023-000-9
Site Plan Name: Terry
Project Name: Flynn's AC
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
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Replace a 3T, 14seer AC system with a 10KW hrt
Undr worx LU Ue enurfneU unser uus perrmr—a
HVAC 0 Gas Tank DGas Piping
Electric FlPlumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4480
Shutters ❑ Windows/Doors
Generator 11 Roof = Roof pitch
SFt. of First Floor:
utilities:Sewer ElSeptic Building Height:
Name Marie B Terry Name: Joseph Flynn
Address: 2546 NW Seagrass or #713 Company: Flynn's AC Services
City: Palm City State: FL Address: 1323 SW Thelma St
Zip Code: 34990 Fax: City: Palm City State: FL
Phone No. 772-336-7696 Zip Code: 34990 Fax: 772-781-1307
E -Mail: Phone No. 772-263-4114
Fill in fee simple Title Holder on next page ( if different E -Mail: mjb@flynnac.comcastbiz.net
from the Owner listed above) State or County License: CAC055482
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not
State:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: state:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
_Not Applicable
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count
yy 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 your Notice of Commencement.
ee/Agent 41"/koAfor/LicenseSignatur wde Holder
STATE OF FLORID�1
COUNTY OF VV1LI)1 in
The forgoing instr ent was acknowledged before me
this ILI day of � � %1A � � . 20 12 -by
-TOS,112 v
(Name of person acknowledging)
(Signature of Notary Publi State of Florida )
Personally Known � OR Produce n iIf f ion
Type of Identification ProducWAINA&
Commission No. FLORIDA
CIL �w7�earCOF
GGOOnnI�rMwF GG030330
Enkft 101`11=0
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
1@111G1_L
STATE OF FLORID
COUNTY OF FAit. 4 Z /A
The forgoing instrument was acknowledged before me
this l_dayof aQ_1A A , 20 by
I
(Name of person ac nowledgng )
t l 'J '� 1gi1 & �vV�
(Signa ur LNotary Public- 51ate of Florida )
Personally Known K OR Produced Identification
Type of Identification Produ a
Commission No.�
COIry1MQp
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SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW