HomeMy WebLinkAboutBuilding Permit Application 0612012017 11:31 TAX) P.0021019
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t Q �' � Permit Number: I O 044q
• f ED
Building Permit Application �a
Planning and Development Services JUN G C 2017
Building and Code Regulation Division PERIf ll-FINIG
2300VlrglniaAvenue,Fort Pierce FL34982 ,S Lucie County FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial XXX Resldentia� .
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 0630 S US Highway 1
Legal Description:
Property Tax ID#: 015905 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
AC change out only- (2) pkg units 7.5 ton &5 ton no hegit installed i�E��- �U U 0
CONSTRUCTION INFORMATION:
ono wor toe a orme un erffc.
erm —c ec a appy:
UHVAC Gas Tank as Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing 'E]Sprinkiers E]Generator O Roof Roof pitch
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction-.$ 7400.00 Utilities Sewer Septic Building Height:
OWNWL8 EI : CONTRACTOR:
Name Taml McHale-St Lucie Draft House Name: Scott Camlre
Address:66$0 S US Highway 1 Company: AC Advantage Inc
City' PSLucle State:Fl Address: 1926 SW Biltmore St
Zip Code: 34952rr __ F x: City: PSLucle State:FI
Phone No. v� Zip Code: 34984 Fax: 772-336-7566
E-Mail: Phone No. 772336-7566
Fill In fee simple Title Holder on next page(If different E.Mall: csr(gacadvantageinc.com
from the owner listed above) State or County License: OMC1249807
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
0612012017 11:31 f AX) P.0031019
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER:. _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: _- --. .._ .. Name:
Address: Address:
City: __ Stater 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 Counttyy makes no representation that is granting a ppermlt.l�ill aut orize the permit holder to build the subject structure
which is in gonflict with anYY pplicabie Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult wlt�your Home Owners Association and review your deed for any restrictions which may epply.
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 Commenceme .
s
Are of Owner Lessee Contractor as Agent for Owner ature of Contractor ucertse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF aLucio COUNTY OF cauda
Theforgoing instrument was acknowledged before me The fooing instrument was acknowledged before me
this F day of �1A e 20 LJby this day of of A-ice 2 20 Ia by
Scott Cemfra $CCU Camfra
(Name of personlacknowlettiginud) (Name of person acknowled ing
(Signa re of Notary Pu Tic-State of Florida) (gnat re-of Notary Pu Tic-State of Florida
)
nally Known xxx OR Produced Identification er ally Known xxx OR Produced Identification
Type of Identification Produced. Type of Identification Produced
Commission No. FF17= (Seal) Commission No. FF17mz JawsLSeaal)
a 4k Jtxrale P®rraa PIWW
NOTARY PUBLIC
3TA'I'E OF FLORIDA Conan#FF1722
Revised 07/15/Z014 CamntdIFF172282 Expires 10/2M18
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER' REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE'
COMPLETE
INITIALS