HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 8433 Belfry Place
Legal Description: POD 28 AT THE RESERVE LOT 57 (OR 2847-866)
Property Tax ID #: 3327-701-0060-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORD:
AC Changeout: Removal of existing 4 ton condenser and air handler, installation of new 4 ton
condenser and air handler (AHRI 7493661)
Condenser: RA1448AJ 15 SEER, 4 Ton, 1OKW
Air Handler: RBHP24J1
CONSTRUCTION INFORMATION:
Additional work toe nerf&med under this permit - check a appy:
Fv]HVAC Gas Tank Gas PipingOGenerator
Shutters Q Windows/Doors
11 Electric ElPlumbingSprinklers F] Roof Roof pitch
Total Sq. Ft of Construction: S�Ftj. of First Floor:
Cost of Construction: $ $3600 Utilities: I _1Sewer 17 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Fk'; L Cc, L6 1, • {-
Address: ,(-I I3c� I s' U %[,,(
City: Pa, -I- S-� 1 c P Stater--
Zip Code: 5L[ 'T 3 G Fax:
Phone No. L1 lZ c�ll 6 L( L4 If -5
E -Mail:
Name:
Company: Kka+iCti cvE &e AAV,+C,
Address: [ 1Q
City: �_"C, &'Q C cJ-e_ State: 'PC_
Zip Code: 3 _tea 720 [ Fax: ?019 6c� S -Te`l I
Phone No. I S'J 6 '? 3 -5 S6 5 -
E -Mail• V i C -e- Cd r`Ef T 10 -)W `O C - 1-4
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: Cif - [ [ , S [ R
IT vawe or construction is �,z5UU or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
BONDING COMPANY: Not Applicable
Name:
Address:
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 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 Commencement.
Owner
as Agent for Owner
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF �1�C''�—I COUNTY OF�
The for ol'k�'�instrument was acknowledged before me The forgo' g instr 1; was cknowledged before me
this ay of t< _ 20 "Dy this ay of 20�_ by
(Name of person acknowledging) (Name of person acknowledging)
10,
(ig ature of Notary Public- State of Florida) (Signa a of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
C
Type of Identification Produced) ( -Type of Identification Produced/ �L C'foy `t�i'a X21
Commission No. Se I)Iflorlda
mmission No.
.Nu'uu•..
.�' a4
a►�Y" •a SUZETTE C. ° = N t he a for
Notary Public - o So 10 F 725
Revised 07/15/2014 , Commission t,M p gxVrej, �ujMy Comm. Expir"., a omm. xpi s u 2020
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