HomeMy WebLinkAboutBuilding Permit Application0412612017 15:11
TAX) P.0021003
ALL APPLICABLE t FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number: C
4 ,
Building. Permit Applications
Planning and Di�veloprnentServlves
Building and Code Regulation Division
2.300 Virginia Avenue, Fort Pierce FL 34982
Phone; (772) 462-1553 Fax. (772) 4624578 Commercial Residential xxx
PERMIT APPLICATION FOR: Mechanical
-PROPOSED IMPROVEMENT LOCATION,.;
Address: 25 Lake Vista Trail #204
Legal Description: Vista St Lucie Bldg 25 Unit 204 (OR 1945-1677)
Property Tax ID #; 3422-500-0347-000-4
Site Plan dame:
Project Name:
Setbacks Front Back: _
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
HVAC change out only RUUD 14seer 2ton system 5kw
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work oorme under s permit— check a appy:
HVAC 0 Gas Tank E] Gas Piping Shutters ❑ Windows/Doors
13 Electric 0 Plumbing Sprinklers � Generator � Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3169.00 Utilities ]Sewer El Septic Building Height:
OWN-ER/LESSEE:
CONTRACTOR:
Name Bob Kantor
Name: Scott Camlre
Address: 831 SE Seahouse Dr
Company: AC Advantage Inc
City: PSLucie State: FI
Address. 1926 SW Biltmore St
City: PSLucie State: FI
Zip Code; 34983 Fax:
Phone No,
Zip Code: 34984 Fax: 772-336-7566
E -Mail;
Phone No. 772-336-7366
FIII In fee simple Title Holder on next page ( If different
E -Mall: csr@acadvantageinc.com
from the Owner listed above)
State or County License: CMC1249807
If value of construction Is $Z500 or more, a RECORDED Notice of Commencement is required.
0412612017 15:11 To P.0031003
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:
Zlp: Phone:
Zip; Phone;
I certify that no work or Installation has commenced prior to the issuance of a permit.
St. LC�cie County makes no rep rese tt��tion that is granting a ermit v ill authorize the permit holder to build the subject 5�r�cture
whlc�i is in conflict with anY appllcale 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 5t. 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-residentlai 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 l#�iie first inspection. If you Intend to obtain financing, consult with lender or an attorney before
commonlcine work or recordin.R vour Notice of Commencement, j
as
STATE OF FLORIDA
COUNTY OF stwele
The forgoing Instrument was acknowledged before me
this day of 20 labY
ewu Camlre
(Name of person
of Notary Publ�- State of Florida )
Pers no ally Known xxx OR Produced Identification
Type of Identification Produced
Commission No, FF172282 (Seal)
Revised 07/15/2014'
STATE OF FLORIDA
COUNTY OF stud,
The forgoing instru nt wasa nowiedge Vefore me
thl day of 2Q y
Sooty CarrJrt
(Name of person
State of Florida)
AemGKally Known §W-- �-' OR Produced Identification
Type of Identification Produced
No. FF172262 (Seal)
PUBLIC
Comm# FF;172262
Exoiran 10/29/2018
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW '
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS