HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3129117
— Permit Number:
a _
Building Permit Application
Planning and Devetopment 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: Mechanical -- -- — 1
PROPOSED IMPROVEMENT LOCATION:
Address: 605 NW Winters Creek Road, Palm City, FL 34990
Legal Description: Harbour Ridge - Plat #20 Lot#7 {or 862-2955. 2250-708: 2568-47-. 3157-1786; 3157-2+633: 36) -
Property Tax ID #: 4422-810-0017-000-7 —
Site Plan Name: Slaysky Residence Lot No. 7
Project Name; Siaysky Residence Block No,
Setbacks Front Back: --Right Side: Left Side:
DETAILED DESCRIPTION OF Vke / ORKvj +:
/ r/ i
IC ch
1U 5EQ) A ,'S- -fin spIl� Ale- Sgs�'
CONSTRUCTION INFORMATION: --
i lona wor E6 e r Dime un er t is perm rt - r ee a apP Y:
-
I I (HVAC 1 (las Tank ❑Gas Piping � Shutters-
Windows/Doors
O Electric 0 Plumbing O5prinklers Generator
Root Roof patch
Total Sq. Ft of Construction: �7 S Ft. of First Floor:
Cost of Construction: $ r . I (, Utiiities:115ewer 0Septic Building Height:
�OIAINERf LESSEE: -- - -- - — CfDNTRACTCrR:
Name S r�S
— �� Name: �� rtsi�F� a`L
Address: 605 NW Winters Creek Rcoad Millets Central Air, Inc.
Company-
City: Palin City FL 722 SW Biltmore Street. #B
State: Address:
Zip Code: 34990 Fax. City. Port Saint Lucie FL
Phone No. 248-891-7800 State:
Zip Code: 3'=0$3 Fax:
E -Mail: jay.siaysky@gmail.com Phone No, 772-785-8080
Fill in fee simple Title Halder on next page ( if different E -Mail: sean@miflerscentr-alair.com
from the Owner listed above) State or County License: CA'C058675
1 if value of co struction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: Not Applital-lr
Name: _
Address:
City:
Zip.
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
I _ Not Applicable
MORTGAGE COMPANY
Name:
Address:
City.
Zip: _ Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State.
X Not Applicable
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 1 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 roams 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 Comrnencement test be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, suit with lend r or an attorney before
commencing work or recording your Notice of Commence t. /
Signature o Owner/Lessee ontractor as e t for Owner
STATE OF FLORIOA
COUNTY OF LVC �L
The forgoing instrum t as acknowbedgid ?efore me
thisclay of 20 L by
i
S Name of Vb1%on ackpowledging 'I
(Signature of Notary
Personally Known '
Type of Identification
Commission No.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
q�ATE
COMPLETE
INITIALS
actor/License Holder
STATE OF FLORIDA
COUNTY OF LG I
The forgoing instru ent as acknowledged me
this If t day of � �I 20 j by
(Name of person acknowledging) `~
Signature of Notary Pu State of Florida )
Personally Known Pu
Produced Iden
r , .. _ Identification
Public sh" of plod"
Com i Sandra L KurbiK
eaI)
+J Y 767iR
w w. Expfrai 0187+2024
PLANS VEGETATION SEA TURTLE P,tIANGROVE
REVIEW' REVIEW REVIEW REVIEW
Permit No.
State of Florida, County of St- t.uc'te
NOTICE OF COMMENCEMENT
Property Tax ID No. 4422-810-0017-000-7
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes. the following information is provided in this Notice of ['nmmencement.
Legal Description of property and address if available 805 NW Winters Creek Road, Palm City, FL 34990
Harbour Ridge Plat #20 Lot #7 (or 862-2955; 2250-708; 2568-47; 3157-1786; 3157-2633; 36) -
General description of improvements
Owner/lessee LA
Address 805 NW 'Winters Creek RoaJ. P I- City, i -L 349M
Interest in property:
Fee Simple "Title holder l'if other than owner) -
Address - —
C'ontractor Miller's Central Air, Inc. Phone # 772-785-8080
Address 722 SW Biltmore Street. #B. Port Saint Lucie. FL 34983 Fax # 772-344-6480
Surety
_ Phtane #
Address
Amount of Bond
Lender9 p t
— � �.. +� art � G' J"
Address
Persons wit hin the State of Florida designated by Owner upon v
by Section 713.13 (a) 7., Florida Statues: ti'idet!
Name
.Address
In addition to himself: owner designates p aK�
Phone #
to receive a copy of the Lienors Notice as provided in !section 71
commencement Is one year from the date of recording, unless a - ire of
ANY PAYNH-NTS MADE BY THJ ()W*Nhkt AF I} R 11IL LXI'MA'110N OF 'I
PAYM1:ti iS t11v11I R ("II 713 13. F.S . ANDCAiN RESULTIN YOUR PAYING'I (IPFR
CONINII 1( I NII \ I Ml! F OF
S7" OF REGClii;Flkta?4Yt3 PUfit't;D C]N'i'ftl: Jt]fi Sri. . -.-.: (ATN
RNANC ENu. CONSULT Will YOUR LENDER OR AN A'T FORNt_Y BEFORI= C1)I MU -NC IN[I WORK OR RECORDING YOUR NOTICE OF
COMMFNCI4tENT
State of Florida, Courtly of
or 01*'ner's or 1—v uee's
Sienatnry's T'hWofftce
v,""ctr/DireetorlParinerl4fanWrl Sianxture
Signa