HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/21/2017 Permit Number:
IE
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 El
PROPOSED IMPROVEMENT LOCATION:
Address: 8242 Martingale Lane, Port Saint Lucie, FL 34986
Legal Description: Sable Creek- Phase IV- Lot 151 (OR 3511-2869)
Property Tax ID#: 3328-701-0004-000-6 Lot No. 151
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: night Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out A/C: Install anew Goodman 3.0 ton 15 seer GSX160361 F /ASPT37C14A 18kw existing
duct work
CONSTRUCTION INFORMATION;
��Additional work to be rformed under this permit—check all apply:
LJHVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers M Generator E]Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 3451.00 Utilities: Sewer L�1 Septic Building Height:
ONNERAESSEE
CONTRACTOR:
Name Iker Leycegui Name: Adam Emanuel
Address: 8242 Martingale LN Company: Adam's Air Conditioning
City: Port Saint Lucie State: FL Address: 582 NW Mercantile PL
Zip Code: 34986 Fax: City: Port Sait Lucie State: FL
Phone No. (772)332-2444 Zip Cade: 34986 Fax: (772)878-3951
E-Mail: Phone No. (772)337-6559
Fill in fee simple Title Holder on next page(if different E-Mail: info@adamsairconditioning.net
from the Owner listed above) State or County License. CAC1814146
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
pp ,Not Applicable
DESIGNER/ENGIN££R: _Not Applicable MORTGAGE COMPANY:
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: 582NW Mercantile PL 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
commencing work or recording our tice of Commencement.
Si gnat Ow�er Lessee Contractor as`A en or Owner Sint ntractor Lice a HoC r",
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 21st day of September 20�Ll by this 21st day of September ,20n by
Adam Emanuel Adam Emanuel
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
air�A� 1. Llh"g==
{Sig a of Notary Public-St e on a (Sig lure of Notary Public-St
L NETTE HAMILTON '"""' L�YNNETTE HAMILTON
Cam IS On No. FFW669 N�C�tsSJON rFvasr,6s Commission No, rr9as6sa ss1oN#F nas s
�� 1�E�XP January a7,z0 EXPIRES:January 07,2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17