HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/10/2017 Permit Number: / ( �
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Building Permit Application NOV 13 201
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: Mechanical
PROPOSED IMPROVEMENT LOCATION:—
Address:
OCATION: ..Address: 360 Ashley St, Fort Pierce, FL 34982
Legal Description:
Property Tax ID#. 3403-802-0077-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Changeout of a 2 ton split.system with 10 kW heat, like foxlike, 14 SEER
CONSTRUCTION INFORMATION:
Additional work to fiorme un ert ispermrt—c ec a appy:
HVAC Gas Tank . F]Gas Piping _Shutters ❑Windows/Doors,
Electric ❑ Plumbing Sprinklers ❑Generator E] Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 3680 Utilities:nSewer 0Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name US Bank Trust NA JR) Name: James J Wauters
Address:3701 Regent Blvd Company: Just Chillin' HVAC LLC
City: Irving Stater Address: 5422 NW Cromey St
Zip Code: 75063 Fax: City: Port St. Lucie State:TX
Phone No.772-361-4050 Zip Code: 34986 Fax:
E-Mail: Phone No. 772-940-4373
Fill in fee simple Title Holder on next page(if different E-Mail: justchillinair@hotmail.com
from the Owner listed above) State or County License: 26326
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION'LIEN':LAW INFORMATION:
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 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 Notice of Commencement.
signature of Vwn6rl Agent/Lessee 1 Si ature of C t actor/License Holder
STATE OF FLORIDA / STATE OF FLORIDA
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(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu ic-State of Florida) Notary ublic- a e-o Florida)
ersonally Knrowp,,,,, o„uced Identification ersonally Kno OR Proti'uced entification
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED