HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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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 XX
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7230 Reserve Creek Drive
Legal Description: RESERVE CREEK PARCEL 4 LOT 17 (OR 3270-98)
Property Tax ID #: 3322-601-0018-000-2
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side
DETAILED DESCRIPTION OF WORK:
Replace existing a/c equipment, like for like.
Rheem 3.0 ton 16 SEER /0kw heat, with ATTIC AHU
CONSTRUCTION INFORMATION:
Additional work to ee Orme un er t is permit – c
HVAC Gas Tank E]Gas Piping
Electric ❑ Plumbing Sprinklers
Lot No. 17
Block No.
Left Side:
apply:
Shutters Windows/Doors
Generator Roof
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
'n
Cost of Construction: $ 4000.00 Utilities
-
Sewer F-1 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Karen R Barker
Name: Wanda Gahn
Address: PO Box 546
Company: AC Buddy, Inc.
City: Independence State: VA
Address: 2451 Seminole Rd.
Zip Code: 24348 Fax:
City: Fort Pierce State: FL
Phone No. {276}613-5560 Tenant Russell Halstead (954)589-8333
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@a GMAIL.COM
from the Owner listed above)
State or County License: CAC181909
,Vua,Le w ..emmencemenF is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
Addre�
City: _
Zip: —
NGINEER: xx Not Applicable
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: xx Not Applicable
Name:
Address:
State: City:
Zip: Phone:
State:
xx Not Applicable I BONDING COMPANY: xx Not Applicable
Name: _
Address:
city:_
Zip:—
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
St. Lucie County makes no representation that is granting a permit will authorize thepermit holderto 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.
—Signature of Owner/ Le ee/Agent gnature of Contractor/ icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF - ,C�.Cff. � COUNTY OF StA.d.
The for oing instrument was acknowledged before me
this day of f` 20 jby
(Name of poson acknowledging) -j
of Notary Public- State of Florida j
Personally Known 013 Produced Identification
Type of Identification Produced
Commission No. r naR Parsor►s
GARY pUgL4G
.r
STA TE OF FLORIDA
Revised 07/15/2014
REVIEWSI FRONT
COUNTER
DATE
COMPLETE
INITIALS
ZONING
REVIEW
412312021
The forgoing instrument was acknowledged before me
this day of �� 1. 20by
Wanda Gahn
(Name olx person
(Suture of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Kristina R. Parsons
Commission No. NOTARY t;C
STATE OF FLORIDA
SUPERVISOR [PLANS
REVIEW REVIEW
Expires 4/2312021
VEGETATION I SEA TURTLE 1 MANGROVE
REVIEW REVIEW REVIEW