HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/27/17 Permit Number:
•a,. _ _•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34952
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 83 Aqua Ra Drive,Jensen Beach
Legal Description: RIVER WATCH BLK 4 LOT 2(OR 3169-1004)
Property Tax ID#: 4511-815-0011-000-3 Lot No. 2
Site Plan Name: Block No. 4
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Replace a/c equipment, like for like
Goodman 5.0 ton 16 SEER with 10kw electric Beat strips
CONSTRUCTION INFORMATION:
Additional r to 13 e eff—or—m—eff under this permit—check all hatapply:
�HVAC Gas Tank OGas Piping _Shutters ❑Windows/Doors
Electric El Plumbing Sprinklers 0 Generator g Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 4200.00 Utilities: Sewer El Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Paul Sasseville Name: Wanda Gahn
Address 129 Queen Christina Ct. Company: AC Buddy, Inc.
City: Fort Pierce State:FL Address: 2451 Seminole Rd.
Zip Code: 34949 Fax: City: Fart Pierce State: FL
Phone No. 207-577-1580 Zip Code: 34951 Fax:
E-Mail: Phone No. (772)480-4136
Fill in fee simple Title Holder on next page(if different E-Mail: ACSUDDYINC@GMAIL.COM
from the Owner listed above) State or County License: CAC181909
If value of construction is$2500 or more,2 RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNERIENGINEER. xx Not Applicable MORTGAGE COMPANY: xx Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable BONDING COMPANY: xx 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 contlict 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. -�
_Signature of Owner/Le see/Agent ignature of Contractor/License(folder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S L,L,,.t::e�. _ COUNTY OF st.L.de
The f r g instru e t was acknowledged before me The for _,��,ng instru ent as acknowledged before me
thisAay of 20 �by thisR41 of zo t by
_VJiIli-Am r',40A. J!�. Wanda Gann
{Name of ersvn acknow edging 4(Name of erson acknowled ing)
( � nature of Notary Publi(State of Florida) ature of Notary Public-State of Florida}
Personally Known OR Produced Identification Personally Known �OR Produced identification
Type of Identification Produced Type of Identification Produced
t Kristin R.Pxsons NOTARY
Commission No. [Seal) Commission No. (kPIDIC
p Krfstina R.Parsons
NOTARY PUBLIC f o STATE OF FLORIDA
Revised 07/15/2014W.wels'07
STATE GG090836 OF FLUMIUA «F -Expires 4f23F2021
ices 4123/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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