HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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 xxxxxxxx
PERMIT APPLICATION FOR: Mechanical
Address: 33 Golf Dr.
Legal Description:
Property Tax ID#: Lot No.
Site Plan Name: Davison Block No.
Project Name: Davison
Setbacks Front Back: Right Side: Left Side:
A/C exact replacement: YORK 3.5 Ton Pakcage unit SEF_ k w
itiona wor to e e orme un ert ispermit—c ec a appy:
R1HVAC L1 Gas Tank Gas Piping Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ �l 3 ( Utilities: Sewer Oseptic Building Height:
Name t1e. owlso Name: UQ o ast fb
Address: -3 nod of- Company: Cool Air USA
City: e C'L State:F� Address: 39 01 N UV )(o St-
Zip Code: 34952 Fax: City: `q'J&Z'rtnill State-FL
Phone No.561-853-6113 Zip Code: 33311 Fax:
E-Mail: Phone No. 954-915-1155
Fill in fee simple Title Holder on next page(if different E-Mail: Permits@coolairusa.com
from the Owner listed above) State or County License: CAC1815656
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
IN
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address:33 GOD, 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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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
commenc ng w rk or recording our Notice of Commencement.
Signature f wner/Less /Con ractor as Agent for Owner Signature ontractor icense Holder
STATE OF �bt ` ° ,c Sfi� STATE OF FLORIDA �1e' �CJc SI fO
COUNTY OF FLORIDA�i OUilw AJ COUNTY OF &'owolA
The forgoing instrume t was acknowledgeA before me The forgoing instrument was acknowledged before me
this day of U 20a by this
_day of UQf!� 20(- by
{j naw a V�/10 tt,.nsJLiozlc_ f�cut�t —
NaWie of person making statement ° Name of person making statement
Personally Known�OR Produced Identification Personally Known D( OR Produced Identification
Type of Identification Type of Identification
Produced - Produced
(SignaturotvFplp ary 6 &rida) (Signature of Notary_.Public-State ofAFlorida.
ra �tlx' 1 C
COINIIIIaIOn{GI3120BZT r,r�
Commi �2021 (Seal) Commission No.*:.-
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OFFUIP m"1b. +YMxomY8ariwt % o� J*30,2021
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17