HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/2/2017. Permit Number:
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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: Other.
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Address: 8040 LONG DRIVE DR. PORT SAINT LUCIE FLORIDA 34952
Legal Description: LINKS AT SAVANNA CLUB (PB -40-39) BLK 38 LOT 7 (OR 1826-1947)
Property Tax ID -4: 3425-707-0156-000.2 Lot No.7
Site Plan Name: 8040 LONG DRIVE DR. Block No. 38
Project Name:
Setbacks Front Back: Right Side: Left Side:
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AC CHANGE OUT- RUUD PACKAGE UNIT 3.5 TON 14 SEER - MODEL # RSPM-AO43JK000AUA
10 KW HEAT STRIP
Li1Ce -FOr Li �.�
ditional work toe performed un ert Ispermit—c ec a appy:
HVAC Gas Tank ❑Gas Pipings Windows/Doors
11 Electric El Plumbing ❑Sprinklers El Generator � Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction: $ 2100.00 Utilities.. Sewer Septic Building Height:
1; ti
Name NED TENTINDO Name: Dere
Address: 8040 LONG DRIVE DR Company: AIRONE COOLING AND HEATING LLC
City: PORT SAINT LUCIE State:FL Address: 730 SW SALERNO ROAD
Zip Code: 34952 Fax: City: STUART State: FL
Phone No. 561-729-1471 Zip Code: 34997 Fax:
E -Mail: Phone No. 772-878-5711
Fill in -fee simple Title Holder on next page ( if different E -Mail: AIRONECOOLING@YAHOO.COM
from the Owner listed above) State or County License: CAC1817926
If value of construction is $2500 ormore, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address: Address:
City: City:_
Zip: Phone: Zip:—
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 1n 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
rnmmencine work or recordine vour Notice of Commencement.
as Agent
STATE OF FLORID, q , n � COUNTY( STATE OF FLORIDA�1 `
COUNTY OF � `��
The f oIng instru was cknowledggd.bpfore me
this day of t 20 uby
(Name of person acknowledging )
�J�h O�22LLOW4 o
(Signature of NotaryPublic- tate of Florida )
Personally Known OR Produced Xetion
tion
Type of Ide i Onfrq t m ggLTBANENA
MY COMMISSION 0 FF902180
--Exwf'tEs .kilt/ 22AW
The forgoing Instrupvrit as acknowledged before me
this qday of 20 by
(Name of person acknowledging
(Signature of Notary Pubiiy- State of Florida )
Knowny/
Personally OR Produced Identification
Type of Identification Produced
- (�: ASHLEE M BELTRANENA
Commission No, y: MY COI ON0FF902180
F EXPIRES .kAy 22, 2019
Revised 07/15/2014
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