HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �J /"')
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Permit Number: ` ' B
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Building Permit Application
JUL 18 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F134982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
r
PROP.QSEDIM
� PROVEMENT LOCATION
Address: 8206 LAKELAND BLVD
Legal Description: LAKEWOOD PARK-UNIT 8 BLK 87 LOT 4 AND E 20 FT OF LOT 5(MAP 13/02N)(OR 2228-1088:3822-2340)
Property Tax ID#: 1301-608-0004-000-1 Lot No.
Site Plan Name: Block No. 87
Project Name: SIOBHAN E GREER
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
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AC CHANGE OUT OF RUUD SYSTEM �' S IN ) JEc'),
CQNSTRUCTION'INFORM,ATION
itiona I work toe nerformed under this permit–checR all appy:
❑✓—HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S�Ft.j of First Floor:
Cost of Construction:$ 4054.50 Utilities: L_I Sewer E]Septic Building Height:
OWNER/LESSEE CONTRACTOR
Name SIOBHAN E GREER Name: GRETA B SMITH
Address:8206 LAKELAND BLVD Company: ALL YEAR COOLING AND HEATING
City: FORT PIERCE State:FL Address: 1345 NE 4TH AVE
Zip Code: 34951 Fax: City: FORT.LAUDERDALE State:FL
Phone No. –620(2 Zip Code: 33304 Fax:
E-Mail: Phone No. 954-566-4644
Fill in fee simple Title Holder on next page(if different E-Mail: DDANIELS@AYCAIR.COM
from the Owner listed above) State or County License: CAC058160
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPP,,LEMENTAL 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 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 firA i pection. If you intend to obtain financing, consult with lender or an attorney before
comn3eqc-i`h_ffiwQF4k or recording our Notice of Commencement.
s
Signatu e f O er a ractor as Agent for Owner Signatu of Contra of er
STATE F FL DA STATE OF FLORIDA
COUNT OF PALM BEACH COUNTY OFBROWARD
The forgoing instrurTgnwas acknowledged before me The forgoing instrument was acknowledged
this�day of 20 Ab v ti`O this 10 day of JULY 20
'Ao�^o
DIMITRIUS DANIkS � O DIMITRIUS DANIELS
(Name of pers c no ed in �� �� (Nam rson we gin
i,
(Signa ure �Pubtate £mrd ) (Si of Notary bi �- ' of F �Aida)
'Personally Known c d4Q ication Personally Known x �'i� r uced Identification
Type of Identification Produced Type of Identification Produce
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS