HomeMy WebLinkAboutBuilding Permit Application 7
ALL APPLICABLE INFO MUST BE COMPLETED FORAPPLICATION TO,BE ACCEPTED 'U tl
'Date: 9/29/17 - - .Pecmit.Number: a` ►. 13`
2 9'2017
r - =(Building_Permit,k plication _r 6
--Planning and Development Services-
Building
ervices Building dnd Code'Regulation Division'
2300 Virginia Avenue,Tort Pierce FL 34982
Phone:(772)462-1553-Fax:(772)-462-1578 COIY1171e1'CIBh-- - LL - RE'SICI@CltlBl X..._
PERMITAPPLICATION-FOR:
Mechanical . _.._------
PROPOSED
--PROPOSED IMPROVEMENT LOCATION:;
Address::4795 Christensen.Rd Fort,Pierce,-FL34981 .,t•
Legal Description'."
Property Tax ID# .3403-5Q2-0141-010-0
Site Plan Name: . ., . a r. , ' c
Block No.
Ei
ProjectoName:;s t,J
Setbacks Front Back: `" Right Side: Left Side: '
r
DETAILED DESCRIPTION'Of WORK:
Changeout-of a 4 tonsplit-.system-with,10AW electric heat,•l kip for like, 16 SEER
CONSTRUCTION INFORMATION:
Additional work to be performed- under tis permit—c ec a app y:
HVAC0 Gas Tank 7:1F]Gas.Piping Shutters Q Windows/Doors
Electric E] Plumbing Sprinklers " ` Generator Roof '
Total Sq. Ft of Construction S . Ft.of First Floor:
Cost of Construction:$. Utilities: _Sewer Septic - , Building:Height
OWNER/LESSEE:` CONTRACTOR: {
Name Glenna and Mickey Sigmon Name: James J Wauters
Address:4795 Christensen Rd.. Company: Just Chillin'HVAC LLC. . _.:. '... .
City: Fort Pierce State:FL _ Address: 5422 NW Cromey St -
Zip Code: 34981 Fax: City: Port St. Lucie State.FL
Phone No.772-370-1362 Zip Code: 34986 Fax: L
E-Mail: Phone No.. 772-940-4373
:P
Fill in feesimple Title Holder on next page.(if different , E-Mail. lustchillinair@hoim;ail com.
from the Owner listed above) -State or County License: 26326 -
If value of construction is$2500 or more,a RECORDED Notice of Commencement isrequired.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION,-;-
DESIGNER/ENGINEER:.-
NFORMATION:DESIGNER/ENGINEER:.- :. _'Not Applicable MORTGAGE COMPANY:- _Not Applicable
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: Address:
City: _.._ City:
.Zip: Pf7one:'- .-. Zip:. Phone:.:_._ .. _
(_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 author'iie the ermit holder to build the-subjecfstructure
which is in conflict with'anX applicable Home Owners Association rules,bylaws or anScovenants 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 additi.,ns;.
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
commencingwork or recordingour-Notice of Commencement:' - -- -
Sgnature of- wner/Agent/Lessee._ - : gnature'of nt_ ctor/License'Holder.'...
STATE OF-FLORIDA STATE OF FLORIDA
' --.- - .--- - - .
COUNTY OF ar • �.U� e - COUNTY OFS-}•. W c'% e
The forgoing instrument was acknowledged before me The forgoing insteuthent was acknowledged;befo-re.me-
this-QA day of 15t Q-b 20,_Q_by this'a�day of Sk �' -'2 =by
�Ae°e5 tau �'tC4 J e�''�n►M ;:S_ 1Jq JTt.,`
(Name of person acknowledging) (Name,ofperson acknowledging),
(Signature of Notary,Pub ic-State of Florida:)-' .s; :,'(Signature of,Notary.Public-State of Florida)_ :
Personally Known Personal) Kno P�:P�•.
o[ y c OR Rg Lenin i
Type of Identification f'-- G :Type of Identifi o•IcedV.,
��Yobocember 16,2020 '
E =' o` EXPIRES:pecemte.,,6,.2020
Comm ss NO. ��r �'`gQb�edj%ea4gpp eundernriler-, ._ Commission NO '�' � �° dThruNotary,P� �e�ters
Revised 07/15/2014
-REVIEWS-"-' - - FRONT - -ZONING.: SUPERVISOR' PLANS VEGETATION " -SEA-TURTLE---- MANGROVE
COUNTER _'''_REVIEW "REVIEWF-'' REVIEW REVIEW~<` 'REVIE'W" V "`REVIEW°
DATE
RECEIVED
DATE -Cl _