HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED My_
Date: 5-16-2017 Permit Number: 1® E )^
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Building Permit Application MAY 17 2017
Planning and Development Services PERlvliI-t'i1�C
Building and Code Regulation Division Si. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION ,.. .°
Address: 5800 travelers way fort pierce fl 34982
Legal Description:
Property Tax ID#: 3410-503-0130-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:, -
Replace ac system with new 3 ton Trane 14 seer heatpump system with 5 kw electric heat.
Air handler-Tem6aob30
Condenser-4twr4036
;CONSTRUCTI,ON1N;FORMATION:
Additionalworkto e e orme under this permit—check a app y:
HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4600.00 Utilities:1n Sewer O Septic Building Height:
OWNER/LESS'EE ; CONTRACTOR:,
NameSonja Michaelis Name: Ryan Osler
Address:5800 Travelers way Company: Ryan's Heating and Cooling Inc.
City: Fort Pierce State:fl Address: 740 sw mccall rd
Zip Code: 34982 Fax:n/a City: port st lucie State:fl
Phone No.772-466-6471 Zip Code: 34953 Fax: n/a
E-Mail: Phone No. 772-224-9486
Fill in fee simple Title Holder on next page(if different E-Mail: ryanosler@comcast.net
from the Owner listed above) State or County License: CAC1814590
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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:
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 thepermit 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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF `�(tjlF, COUNTY OF a - LA)(1,1�:
The for oing instrument was acknowledge efore me The for oing instrument was acknowledged before me
this T day of 20 I V by this day of 20 I by
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(Name of Orson acknowledging) (Name of pe son acknowledging)
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(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification V/ Personally Known OR Produced Identification
Type of Identification Produced J✓' Type of Identification Produced ��,'
Commission No. �o�P r'o o.,, (SeblAREN S. NIELSE1�/
mission No.F (SeaCommission # FF 115GAREN S. NIELSEN
My Commission Expir
''•,;oF ;,. June 1 =N a_ 1
Revised 07/15/2014 My Commission Expires
'%;;; �:��' June 12, 2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
[COMPLETE
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