HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/30/2017
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: 7344 PINE CREEK WAY
Legal Description: 22 36 39 THAT PART OF SEC 22 MPDIN OR 602-1177 AND KNOWN AS PINE CREEK VILLAS
BLDG 11 UNIT 29 (MAP 33122N) (OR 1326-929: 2682-309: 3574-1512)
Property Tax ID #: 3322-233-0029-000-3
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Exact AC Changeout of Lennox 3 Ton 16 Seer Straight Cool System 10kw heater
Condenser Model: 14ACXS036
AH Model: CBA27UHE-036
CONSTRUCTION INFORMATION:
LAVAL L—j Gas Tank
Electric El Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 5100.00
nu—cnecK am Mat apply:
Piping _Shutters
lklers 1:1Generator
S Ft. of First Floor: _
Utilities:USewer 05eptic
OWNER/LESSEE:
Namejames E Logue (TR)Mary R Logue (TR)
Address:7344 Pine Creek
City: Port St Lucie FL
State: _
Zip Code: 34986 Fax:
Phone No. 772-579-7610
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Lot No.
Block No,
Windows/Doors
Roof
Building Height:
Name: Donald Myers
Company: AC Care, LLC
Address: 1500 NW Federal Hwy
City: Stuart FL _
State:
Zip Code: 34994 Fax: 772-252-3231
Phone No. 772-266-2665
E -Mail: office@accareheatair.com
State or County License: State License #CAC 1818622
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
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 vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORID
COUNTY C Mor
The for oIng instrument was acknowledged before me
this s day of t tf1 `hr�: . 20 Iiby
person
Type
State
EXPIRES March 22 2021
(Seal)
Revised 07/15/2014
S
Signature of Contractor/License Holder
STATE OF FLORID/ ���
COUNTY OF �� 1
The forgoing instrument ''
t�nw''as ��a��c..k..acknowledged before me
this � day of 20 L by
(Name of person acknowledging )
(Signature of N tary Public- State of Florida )
Personally qr9IN790114ientifi ation
Type of IF
:y.
I '•', EXPIRES March 22.2021
Commi�sio (Seal
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS