HomeMy WebLinkAboutMECHANICAL/HVAC RESIDENTIAL- REPLACEMENT SYSTEM JUN-28-2017 11:00 P.01
ALL APPLICABLE//INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: lSJ )-7 Permit Number: l9
RECEIVED
Building Permit Application JUIN 2 8 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fon Pierce FL 34952
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: Mechanical Y El
Address: 804 WINTERS CREEK ROAD,PALM CITY,FLORIDA 34990
Legal Description: HARBOUR RIDGE-.PLAT 21 -LOT K(OR847-2568;3627-426)
Property Tax ID#: 4422.815-0008-000-6 _ _--Lot No.K
Site Plan Name: Block No.
Project Name: POTTER RESIDENCE
Setbacks Front Back: Right Side: Left Side:
1011NMEN WIN
REPLACE EXSITING A/C WITH TRANE
4 TONS, SEER 20, 10 KW
Additional work to be ertormed under thispermit�c ec all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric Plumbing ❑Sprinklers Generator ❑,Roof Roof pitch
Total Sq.Ft of Construction: S Ft_of First Floor:
Cost of Construction:$ 10,400.00 Utilities:n Sewer❑Septic Building Height: ._ _
NameLOUISE POTTER i Name: STEVEN SANDERS
Address:804 NW WINTERS CREEK RD Company: STEPHEN K DENNY INC.
City: PALM CITY State:FL Address: 406 COMMERCE WAY
Zip Code: 34990 Fax: City: JUPITER State:FL
Phone No.434.972-2420 Zip Code: 33458 Fax: 561-746-2581
E-Mail: Phone No. 561.746.9554
Fill in fee simple Title Holder on next page(if different E-Mail: _
from the Owner listed above) State or County license: CAC1813800
If value of construction is$2506 or more,a RECORDED Notice of CommenCement is regLdred.
JUN-28-2017 11:00' P.02
.5PPP;i:EMENTAL.-CMTRUCTION LIEN LAW INFORMATION-.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:_
City:-- ._. - State:_-- City: _ State:
Zip: Phone: Zip: Phone, .
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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.
5t.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 and posted on the jobsite
before the first inspection. If you intend to obtain financing, cons It with lender or an attorney before
commpqcing work or recordin our Notice of Commencement-
s
Signature of Owner/Lessee/ ontra as Agent for Owner Signatur ontractor/License Holder
STATE QF FLOR STATE OF FLORA
COUNTY OF_. r,Z,,rr ----' j�o"�¢-, COUNTY OF r-n ppea4ii:2..
The forgoing instrurqent was acknowledged before me The forgoing instrument was acknowledged before me
this ay of 201-7 by this day of c ,20 1`7 by
\(Name of person a giag�.� rson ac now a gi
(Signature of Notary Public-State of Florida) ( 1gnature of u - ori
Personally Known /-<:) OR Produced Identific Personally Known OR Zific ion
Type of Identification Produce pe of Identification Prod
n" HELEN DOWNING &;jrr, HELEN DOWNING
�faOMMISSION#FF0 57B
Commission No. �*_ •�(S� XPP mmission No. ;*s iuY ION fFFo3B576
`_ ►RES:July21,2olt := EXPI�July21.2017
,jL y, Bonded Thm NohgPublfe Undpm l i N 9flndetl ihru nbiery Pubfsc Uador �
fir',.,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS 1