HomeMy WebLinkAboutBuilding Permit Application Oct. 6. 2017 3:58PM No. 2854 P. 2/4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (1,
Date: 7/14/2017 Permit Number: �l(�
Building Permit Application OCT 0 6 2017
Planning and Development5ervices
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
:P,RQPpSEQ'lMPR01(ENFNT:'LOCATION:;. ::
Address: 8264 Spicebush Terrace
Legal Description: Lake Lucie Estates PLAT NO.One Lot 73(Or 3292-2475)
Property Tax ID#: 3426-703-0087-000-8 Lot No.73
Site Plan Name: Charles Hipsman
Block No.
Project Name: Charles Hipsman
Setbacks Front Back: Right Side: Left Side:
DETAILED:DESCR!#?TION:
HVAC EQUIPMENT CHANGE OUT; MAKE-CARRIER;AIH: FB4CNP042;C/U: CH14NB042; 8KW;
14 SEER; 3.5 TON
co>�T-Ruc7101.4.rN n�Art��u�,. :' `:• :.
itionawor to b rtormeo un ertnis permit- eca `apply:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ElPlumbing Sprinklers Q Generator EIRoof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ $3757.00 Utilities:05ewer Septic Building Height:
:Q.�A/NER LESSEE• NIX ,
Name Charles Hipsman Name: DONALD O'BRYON
Address:8284 S,.picebush Terrace Company: PREFERRED AC&MECHANICAL,INC
City: PORT ST LUCIE State:FL Address: 1643 DONNA ROAD
Zip Code: 34952 Fax: City: WEST PALM BEACH State:FL
Phone No. Zip Code: 33409 Fax: 5614780089
E-Mail: Phone No. 5616894093
Fill in fee simple Title Holder on next page(if different E-Mail: TRICIA@PREFERREDACMECH.COM
from the Owner listed aboi e) State or County License: CAC1817665
If value of construction is$2500,or more,a RECORDED Notice of Commencement is required.
Oct. 6. 2017 358P No. 2854 P. 3/4
;SU:1 R.LEMENTAL'.COi 1sT .,y.CTfON'LIEN.:L 1 'IN:F.OR[�%IA i.QN ::,:, ' .•>; ;
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: _ Name:
_
Address: Address:
City: State: City: 5tate:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: 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 contlict with any applicable Home Owners Association rules,bylaws or anq Covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed Tor any restrictions which may apply-
Inconsideration
pply_Inconsideration 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,co lender or
attorney before
com nein work or r cordin our Notice of Commence t.
s
Signature of ner/ e55 /Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF P"1aEAc,1 COUNTY OF PALmorACH
Thefor oing Inst me t.w acknowledged ore me The forgoing instrument was acknowledgj fore me
thislday ofhe r 20 this m day Odnber 20/ by
Charles tG rt_: DONALD r�---\
(Name p &Dnkn dgi (Name o kno dgi
( ignature o Pu is-state o orida) Sign' ure ary ate o
Pers n OR Produced Identifica#ion x Pe holly K wn x ORP
Type of identification Produ pe o . entification Produced • A
? TRICIARADD =�. =� MYCv^MMIS8i011J FF2115
Commission No.
FFM587 :r '(I ' �MMISSION#FF211587 mmission No. FF211W '''=' JFSe0gxPIRES_July 18.20'9
y.
IR5S:Ju 13 2019
Bonded ThrNof P ery ub;;c Undemvri
s sT: ti f u
•,yds `�' Eonded Thru Notary PUblic Undewv ler
Revised 07/15/2014
REVIEWS FRONT" ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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INITIALS