HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/09/2017 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 X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 6051 N US Hwy 1 Ft Pierce FL 34946
Legal Description:
Property Tax ID #: 1406-442-0003-000-8
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Pulling a permit for an A/C change out another company did awhile ago. Bringing it up to code.
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Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to(e ne orme under this permit -check a appy:
HVAC L_J Gas Tank DGas PipingOGenerator
Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers 1:1 Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 500.00
S Ft. of First Floor: _
Utilities: Sewer F]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Cody Danks
Name: James Williams
Address: 3462 NUS Hwy 1
Company: Above All Air Heating and Cooling LLC
City: Ft Pierce State: FL
Zip Code: 34946 Fax:
Phone No. 772-579-2978
Address: 1321 Orange Ave
City: Ft Pierce State: FL
Zip Code: 34950 Fax: 772-248-0227
Phone No. 772-621-7050
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: Office@aboveallairfl.com
State or County License: CAC1818977
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER:
Name:,
4-1 Not Applicable
MORTGAGE COMPANY:
Name:,
Not Applicable
Address:
Signat e cA Contractor/License Holder
Address:
STATLF FLORIDA
`I-• Ukx.t'2.
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
4Not Applicable
Address:-,
Personally Known Y-�— OR Produced Identification
Address:
Type of Identification
City:
Produced
City:
Zip: Phone:
Zip: Phone:
(Signa re f Notary blic- State of
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
commencing work or recording your Notice of Commencement.
Rev. 8/2/17
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Signaturo Owner/ Lessee Contractor as Agent for Owner
Signat e cA Contractor/License Holder
STATE OF FLORID
STATLF FLORIDA
`I-• Ukx.t'2.
COUNTY OF f �
COUNTY OF
Theing instrument was acknowledged before me
forgo
The forgoing instrument was acknowledged before me
this day of I V�U�Lnn.ln r , 20_Q by
this 14", day of f\)t Q%A ,9__, – 20_L%2 by
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known Y-�— OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signat �ef NotaryPublic- S ate of FI r'
(Signa re f Notary blic- State of
Commission No. 9q LtO`3I �s JWlFEROJNADO.ORES
MY COMMISSION #
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F99403 EEXPIRES:
EXPIRES:
"'P May 18, 20,
May 18,
020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17