HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ((��
Date: 7/19/2017 Permit Number:
Building Permit Application
JUL ?'
Planning and Development Services
Building and Code Regulation Division eoul-Ity, FL
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: 5514 Buchanan Dr
Legal Description:
Property Tax ID#: 3402-602-0235-000-7 Lot No.
Site Plan Name: Block No.
Project Name: .
Setbacks Front Back: Right Side: Left Side: .
DETAILED DESCRIPTION OF WORK:
Changeout of a 4 ton split system with 10 kW heat. like for like 15 SEER
I
CONSTRUCTION N FORMATION:
Additional work to be pertormed under this permit—check all that appy:
_HVAC _Gas Tank _Gas Piping _Shutters ^Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4410 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Ocwen Loan Servicing LLC Name: James J Wauters
Address:16745 W Bernardo Dr Ste 300 Company: Just Chillin'HVAC LLC
City: San Diego State:CA Address: 5422 NW Crorney St
Zip Code: 92127 - Fax: City: Port St. Lucie State:CA
Phone No.772-361-4050 Zip Code: 34986 Fax:
E-Mail: Phone No. 772-940-4373
Fill in fee simple Title Holder on next page(if different E-Mail: justchillinair@hotmaii.com
from the Owner listed above) State or County License: 26326
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
,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 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, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
S' nature of/Owner/Agent/Lessee Sig ature of Co ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � � COUNTY OF
The f going instr ment was acknowledged before me The for oing instri4meQt was acknowledged before me
this day of 20by 1 1W this day of 20_1f by
ig Lryl Ec�, WR 4A
(Name of person acknowledging) (Name of person acknowledging)
JLe \�
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) /
Personally Known OR Produced Identification ✓/ Personally Known OR Produced Identification r✓
Type of Identification Produc d �:.T. a of Identification Produced f �f
paY KAREN S. NIELSEN' I ��
Commission No. '_ ,�*c(S�81i)mission ;t FF 1 5 ' 7C mission No. (Seal)
- y = my commission Expire 3 �W -
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