HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/19/2017 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 x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 13426 Harbour Ridge Blvd 5B, Palm City 34990
Legal Description: Palmetto Village Building 2 Unit 5B (OR 3652-840)
Property Tax ID #: 4436-605-0013-000-2
Site Plan Name: Roddy
Project Name: Flynn's AC
Setbacks Front Back: Right Side: Left Side:
Replace 2.5T, 14 seer AC System with a 5KW Htr.
0 Plumbing
Generator
Lot No.
Block No.
❑ Windows/Doors
Roof = Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 4250 Utilities:Sewer Septic Building Height:
Name Raymond Roddy
Address: 323 Colborne St #601
City: London, ON Canada State:
Zip Code: N613 3N8 Fax:
Phone No. 772-240-9226
E -Mail: rayroddy60@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:. Joe Flynn
Company: Flynn's AC Services
Address: 1323 SW Thelma St
City: Palm City State: FL
Zip Code: 34990 Fax: 772-781-1307
Phone No. 772-283-4114
E -Mail: mjb@flynnac.comcastbiz.net
State or County License: CA0055482
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name: — ----
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
— Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
which is inoconfli t wimakth any representation
aOwners Associate permit
rules, will authorize
y aws 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.
_ Si ture of Ow r/ Lessee/Agent
STATE OF FLORID
COUNTY OF_ (� k r )
The forgoing instrument was acknowledged before me
this_dayof 20 L✓by
e Senn ( vA if1
(Name of perso acknowledging )
(Signature of Notary Pub' State of Florida )
Personally Knowv—< OR Produced Identification
Type of Identification Prodi4jillo, KiatNNJ. eromn
Commission No.
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF ��VV
The forgoing instrument w s acknowledged before me
this )l q day of , 20D_ by
1 a l/\
(Name of person Scknowledging
(Signature of Notary Public- date of Florida )
Personally Know OR Produced Identification
Type of Identific ion Produced
Commission No.
Ev'"" 10/1/20ap
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS