HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j c_
Date: 5/25/17. 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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT.LO.CATION �' .
Address: 7605 Penny Lane Fort Pierce, FL 34951
Legal Description:
Property Tax ID #: 1301-607-0304-000-1 ; Lot No.
Site Plan Name: Block IVo.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK. Int
6
Changeout-fo a 3 ton split system with 7.5 kW electric heat. like for like 15 SEER
OWNER/LESSEE:
CONTRACTOR:
Name US Bank NA (TR)
Name: James J Wauters
�CONSTRUCTfON`1�NFORMATLON.
Company: Just Chillin' HVAC LLC
City: Oklahoma City State: OK
.
Zip Code: 73134 Fax:
City: Port St. Lucie State: OK
Phone No. 772-361-4050
Additional work to be nprtormedunder this permit —check
Z✓ HVAC LJ Gas Tank ❑Gas Piping_
all
Phone No. 772-940-4373
appy:
Shutters
a Windows/Doors
from the Owner listed above)
State or County License: 26326
:
0 Electric Plumbing
U Sprinklers
l Generator
Roof
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 3658
Utilities: l _1 Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name US Bank NA (TR)
Name: James J Wauters
Address: 13801 Wireless Way
Company: Just Chillin' HVAC LLC
City: Oklahoma City State: OK
Address: 5422 NW Cromey; St
Zip Code: 73134 Fax:
City: Port St. Lucie State: OK
Phone No. 772-361-4050
Zip Code: 34986 Fax:
E -Mail:
Phone No. 772-940-4373
Fill in fee simple Title Holder on next page ( if different
E -Mail: justchiilinair@hotmail.com
from the Owner listed above)
State or County License: 26326
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION -LIEN LAW INFORMATION:
,
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _INot Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip:. Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 your Notice of Commencement.
4I -_
Si ature of O�i�> �
er Agent Lessee
STATE OF FLORIDA
COUNTY OF ��5� ,, -Q-
The
The r Ping instr m nt was acknowledged before me
this ay of 20 by
(Name -&-person acknowledging) A
141, -44-z:::
S' nature of ntractor/License Holder
STATE OF FLORIDA r
COUNTY OF
The forgoing instrument was acknowledged before me
this Qpday of 20i`R by
(Name of person acknowledging) A A
(Signature of Not r Public- State of Florida) ° (SigrrdfEure ol"Nopfy Public- State of Florida 3
sonally Know I ntification Personally Known o uce ifleation
ria . �• t NGEL
Type of ME7tYlf c� uced ANG st.r,u� ion fo _ A M HUFF
a $� Notary Public -State of Florida F� ��` Commi 1C State
of Florida
Commission No: � Commission A&ealb,-, Commission No r. F _ . N.. My Comm LPdl 234730
<<F oP Y om „ „ xpires M 9
or F� m. Expires May 27, 2019 Bonded through National y 27, n 0 1
Bonded d thr°Uetl Natin��i I�_._ !
Revised 07/15/2014
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