HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL 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 XX
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 175 NE Tunison Ave.
Legal Description: RIVER PARK-UNIT 9-PART 'A' BLK 77 LOT 14 (MAP 34/28N) (OR 4036-2530)
Property Tax ID #: 3419-560-0036-000-7
p Y Lot No. 14
Site Plan Name: Block No. 77
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace alc equipment, like for like. Goodman 3.0 ton 14 SEER with 1Okw heat
CONSTRUCTION INFORMATION:
Additional work to be erforme un erthis permit — cec a app y:
HVAC Gas Tank Gas Piping Shutters a Windows/Doors
0- Electric Plumbing Sprinklers []Generator Roof
Total Sq. Ft of Construction: S� of First Floor:
Cost of Construction: $ 3600.00 Utilities: _ Sewer 11 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Maria Santos
Name: Wanda Gahn
Address: 6444 NW Hacienda Ct.
Company: AC Buddy, Inc.
City: Pork 5t. Lucie State: PL
Address: 2451 Seminole Rd.
Zip Code: 34986 Fax:
City: Fort Pierce State: FL
Phone No. 661-577-0858
Zip Code: 34951 Fax:
E-Mail:
phone No. (772) 480-4136
Fill in fee simple Title Holder on next page I if different
E-Mail: ACBUDDYINC@GMAIL.COM
from the Owner listed above)
State or County License: CAC181909
If value of construction is $2500 or more, a RECORDED Notice of Commencement
is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable
Name:
MORTGAGE COMPANY: xx Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable
Name:
BONDING COMPANY: XK Nat 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 Nome Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Horne 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 }obsite
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/ to s`eeJAgent ignature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF '%. L'L64--- COUNTY OF Sttucle
The f r ging instru ent was acknowledged before me j The for sing instrument was acknowledged before me
this day of " 20 nby jj thisq--`day of 0 20 j by
-+ l • 1 m Jr. Wanda Gafin
(Name of erson acknow edging (Name of erson acknowledging
(Riidnature of Notary Public -State of Florida) (Sinature of Notary Public, State of Florida )
Personally Known � OR Produced Identification Personally Known VZOR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No_ (Seal)
t Kristina R. ParSons
NOTARY PUBLIG
STATE O
Revised 07/15/2014 Comm# GG090836
7/yCe Igi� Expires 4/23/2021
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
COM P LETE
INITIALS
t Kristina R. Parsms
Commission No. NOTARYSOPIDIG
STATE OF FLORIDA
Expires 4/2312021
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW I
I REVIEW