HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
J _
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 4101 Bear Creek Ct
Legal Description: HOLIDAY PINES S/D-PHASE III- LOT513 (MAP 14/18N)(OR 595-76. 1141-2844)
Property Tax lD#: 1313-502-0090-000-2 Lot No.513
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace a/c equipment, like for like
Carrier 2.5 ton 16 SEER 5kw
CONSTRUCTION INFORMATION:
Adclitional work to be ertormed under this permit—check all h
apply:
E]HVAC Gas Tank ❑Gas Piping L—{Shutters 0 Windows/Doors
Electric ❑ Plumbing Sprinklers ❑ Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 3100.00 Utilities:ll Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Warren&Karen Crittenden Name: Wanda Gahn
Address:4101 Bear Creek Ct Company: AC Buddy, Inc.
City: Fort Pierce State:FL Address: 2451 Seminole Rd.
Zip Code: 34951 Fax: City: Fort Pierce State: FL
Phone No. 772-464-6959 Zip Code. 34951 Fax:
E-Mail: Phone No. (772)480-4136
Fill in fee simple Title Holder on next page (if different E-Mail: ACBUDDYINC@GMAIL.COM
from the Owner listed above) State or County License: CAC181909
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable MORTGAGE COMPANY: xx Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable BONDING COMPANY: xx Not Applicable
Name: Name:
Address: Address:
City: 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 our Notice of Commencement.
/'' s
_Signature of Owner/ , ee/Agent 'Signa ure of Contractor/License Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF J4. ka E» COUNTY OF St.Lucie
The for ng instru nt was acknowledged before me The forgoing instrument was acknowledged before me
this lay of �r 20/1-by this day of ��, 20 by
I+1 WA-AMI ✓. Wanda Gahn
(Name of erson acknowledgin } (Name of person acknowledging)
Q�
( i nature of Notary Public-State of Florida} (Si ature of Notary Public-State of norida}
Personally Known V QR Produced Identification Personally Known t//OR Produced Identification
Type of Identification Produced 00na R.Parsons Type of Identification Pr ced
'r Y PUBLIC � �, NOTARY P LI
Commission No. OF PLORIW� Commission No. ATE OF 94JDA
006WB38 Q a�Commit GG090836
4 kp re•
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS