HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 3609 PEBBLE BEACH LANE
Legal Description: SAVANNA CLUB PLAT PHASE THREE BLK 41 LOT 50 (OR 3903-625)
Property Tax ID#: 3425-705-0051-000-0 Lot No. 50
Site Plan Name: Block No. 41
Project Name: JAMES CASTELLANE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
A/C CHANGE OUT 3 TON
14 SEER
10 KW
CONSTRUCTION I,NFORMATI=O,N:
Additional work to be i3erformed under this permit—check a apply:
�HVAC 0 Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric El Plumbing Sprinklers a Generator Roof Roof pitch
Total Sq. Ft of Construction: 1.121 S Ft. of First Floor:
Cost of Construction: $ 4100.00 Utilities:0Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JAMES E CASTELLANE Name: MARK A VINES
Address: 208 N OAK STREET Company: AZTIL
City: MASSAPEQUA State: NY Address: 2540 S MILITARY TRAIL
Zip Code: 11758 Fax: City: WEST PALM BEACH State: FL
Phone No. 516-427-3920 Zip Code: 33415 Fax:
E-Mail: Phone No. 561-433-2197
Fill in fee simple Title Holder on next page ( if different E-Mail: PERMITS@AZTILAC.COM
from the Owner listed above) State or County License: GAGOOZO
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATtvle
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 and posted on the jobsite
before the first inspection. If you intend to obtain financing, co It with lender or an attor y before
commenci o or recordingo Notice of Commence nt.
s
Signature of Owner/ essee/ ontra Wor s gent for Owner Ignature of Contrac r/License Holder
STATE OF FLORIDA AIm
��� STATE COUNTOY OF ORIDA ,Qq /m /6MA
COUNTY OF / l
The forgoing Instrument was acknowledged before me The forgoing instrument vyas acknowledged before me
this l ! day of l 20 L-2- `J Wby this Q day of T ( 2017 by
(Name of person acknowledging) (Nam rson acknowledging)
(Sig 6t5
of Notary P lic-S to of Florida ) (Signs r f Notary Publi - tate of orida)
Personally Known—SL OR Produced Identification Persona y nown (:: OR Produced Identification
Type of Identification Produced Type of Identification Produced
o``'�r°`°�;JOH Epp ARD GIFFORD ,• '�P�•.,,
Commission No. _ Seal Commission No. :'o`'" �4: JOHfd E�1�►MFD GIFFORD
MY C MM SSION#FF077427 =. MY COMMISSION#FF077427
�` EXPIRES December 17,2017
'9 P' EXPIBES December 17,2017
(407)398-0153 FlondallotaryService COm
Revised 07/15/2O 14 t (407)398-0153 FlondallotaryService.com
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DATE
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INITIALS