HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
July 10,2017 J�
Date:: . Permit,Number:'
Building PermitApplicatio
n,..;
'Planning and_Development Services .. ;
i
Building and Code Regulation Division`
2300 Virginia Avenue;Fort Pierce-ft 34982 - _ . .. . ... .. _.._..
Phone: (772)462-1553 Fax:(772)462-1578 0!rniTlercial- Residential x
PERMIT APPLICATION FOR: • -
Mechanical.
-PROPOSED.IMPROVEMENT LOCATION
Address: 307 Holly Ave
Legal Description:'River Park-Unit 2 Blk 21 Lot 6(Map 34/22N)(OR 3252-2415)' -
.i
Property Tax ID#:!3411975107,q395700079. . ...-. I Lot No. 6,
Site Plan Nam_ e: Schwerer Block'No. 21
Project Name.
A/C'change'out,for Robert Schwerer
Setbacks' Front-,' Back: Right Sicle: Left Side:
DETAILED DESCRIPTION OF WORK
3 tori'A/C change out 16 SEER Goodman equipment and 10 KW heate .
9r:] -
CONSTRUCTIONANFORMATION
Additional work to e e orme un er Nis permit—check a appy:
I�I i
HVAC L_I Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing E]Spri'nklers El Generator Roof Roof pitch
Total Sq. Ft of:Construction: S . Ft.of First Floor:
Cost of Construction;:$': � �.� Utilities: Sewer E]Septic, Building Height:
�:01NNER/LESSEE ='t'_ CONTRACTOR:`:
Name Robert Schweier Name: Frank S Manna j
Address:7315 Elyse:Cir Company: Gateway Industries Inc.(dba)Q. I.Air Cond.&Htg.
City: Port St Lucie State:FL Address: 351 SW Butler Ave
Zip Code: 34952 Fax: City: Port St LucieState:FL
Phone No.772-461-2310 Zip Code: 34983 I Fax:
E-Mail: Phone No. 772-337-3020
Fill in.fee simple Title Holder on next page(if different;'; E-Mail: frankitianna@giai�corid.com
from the Owner listed above) State or County License CAC058050
I
If value of construction is$2500 or more,a RECORDED Notice of.Commencement is required.
1
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 isgranting 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;iresult 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)ufth lender or-an attorney before
commencigg-w, ork,Mecording your Notice of Commencement.
s
Sig ature of O J se
se/Contractor as Agent;for Owner Sig ture of Contractor/License Holder
S ATE OF FLORIDA �� ' STATE OF FLORIDA �'� GI
COUNTY OF e� �_�C�� COUNTY OF
_S:L_The forgoing instrurnentkwas acknowledge before me The forgoing instrument wa acknowledged before me
h' . day of 201by this day of 20 y
.(Name of person acknowledging) (Name of persona ac owledging)
(Signature of Not Public-'State of Florida) ature of tary Public-State of Florida)-
PersorallX, poyyn E c en ication Personally Known=QP Rwd ce t+• t'n V
Type fo0cRbl� Type of Identify atiQrn Nr�duced C.
_•: :• Commission#FF 234730 i ; Notary Public-State of Florida
Com iSs `�`� Commission N .: :•= Commission $F2a8 730
-. My Comm.Ex in'res May 27,(��'
r %° � • Bonded through National NotaryAssn. ' '':F o,°; My Comm.Expires May 27,2019 f
�,' �r.q, '•° Bonded through National Notary Assn.
Revised 07/15/2014
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