HomeMy WebLinkAboutBuilding Permit Application 7
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: 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 X
I,
PERMIT APPLICATION FOR: Mechanical
"PROPOSED INIPROVEMyENT,LOCAt"
ION
Address: 4001 AVENUE Q
Legal Description: SUNLAND GARDENS BLK 16 ELY 15 FTOF LOT 3 AND LOTS 4,5 AND 6-LESS N 10 FT-(0.56 AC)(OR 331-1956:490-540:901-803)
Property Tax ID#: 2405-601-0293-000-4 Lot No.
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Site Plan Name: Block No.
Project Name: ALBERT GOODIN
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPI-IONCFW R
AC CHANGE OUT OF YORK 4TON 16
CONSTRUCTION INFORMATION `
Additional work to e e orme under this permit—check a _appy:
El❑HVAC be
Tank ❑Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
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Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 4200 Utilities:Sewer O Septic Building Height:
i
TRACT,
OR ij
Name ALBERT GOODIN Name: GRETA B SMITH
Address:5456 NW COMER STREET Company: ALL YEAR COOLING AND HEATING
City: PORT ST LUCIE State:FL Address: 1345 NE 4TH AVE
Zip Code: 34986 Fax: City: FORT.LAUDERDAL6' State:FL
Phone No. Zip Code: 33304 Fax:
E-Mail: Phone No. 954-566-4644
Fill in fee simple Title Holder on next page(if different E-Mail: DDANIELS@AYCAIR.COM
from the Owner listed above) State or County License: CAC058160
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 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 apoosted on the jobsite
before t ction. If you intend to obtain financing, consult with lender or attorney before
com en ' work o cording our Notice of Commencement.
6. s
Sig ur see/Contractor as Agent for Owner 'dig ture of Contractors se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF BRowARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of 20 _by this 09 day of MAY 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personall x OR Produced Identification Personally Known x OR Produced Identification
Type of I e ><ilr; ipn Type of Ident' icai }.pAN'ELS
roe
MY COMMIS910N#F 26 Commission �c MY COMMISSION (5��A 'AN13126
Commiss _ �(S�a�9 2
October 30,2018 ?•��,.' EXPIRES October 30,2018
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION' SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS