HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
._ REC.EIVED
Building Permit Applical ion
Planning and Development Services OCT 2 4 2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permi�tlnrpartment
Phone: (772)462-1553 Fax: (772)462-1578 Commercial SFi�eSL �l a �
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PERMIT APPLICATION FOR: Mechanical y
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PROPOSED IMPROVEMENT LQCATICiN„ "NWx ° '
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Address: 5749 Spanish River RD
Legal Description: PORTOFINO SHORES-PHASE THREE-(PB 43-40) LOT 292 (OR 3603-486)
Property Tax ID#: 1312-503-0088-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Joni N Cooke
Setbacks Front Back: Right Side: Left Side:
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DETA�I.LEDDESCR.IPTIQN, FWORK., Wjr3,y n5
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A/C CHANGE OUT OF A RUUD SYSTEM
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CONSTRUCTIQN INFORI1ATlaN
Additionalwork to be nerformed under this permit—check all appy:
HVAC Gas Tank OGas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing O Sprinklers I�Generator E—] Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3400 Utilities:n Sewer 0 Septic Building Height:
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Name Joni N Cooke Name: GRETA B SMITH
Address:5749 Spanish River Rd Company: ALL YEAR COOLING AND HEATING
City: FORT PIERCE State:FL Address: 1345 NE 4TH AVE
Zip Code: 34951 Fax: City: FORT.LAUDERDALE State:FL
Phone No. Zip Code: 33304 Fax:
E-Mail: Phone No. 954-566-4644
Fill in fee simple Title Holder on next page(if different E-Mail: DDANIELS@AYCAIR.COM
from the Owner listed above) State or County License: CAC058160
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTIDNI LIEN LAW iNfpRMATION;w
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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: 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 thepermit 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
commk<dng ork or recording our Notice of Commencement.
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Signature of Owner/L see/Contractor as Agent for Owner SignatureACntractor/Lic��� r �
STATE OFF IDA STATE OFRIDA
F SAINT LUCIE COUNTY OF BROWARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 23 day of OCTOBER 20 17 by this 23 day of OCTOBER 20 17 by
Joni N Cooke 1 GRETA B SMITH
J(Name of ledging) t(Nameof acknowledging)
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Ignatur f Notary Pu ic-State of Florida) �� < ��. Notary Pu lic-State of Flori ' ;
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ersonally Known x OR Produced Identific 1 ` o Personally Known x OR Produc d leAfi,,atio
ypeof Identification Produced �' ` Type of Identification Produced Q�
Commission No. (S 1)O��} Commission No. � �ea
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS