HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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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
I PERMIT APPLICATION FOR: Mechanical
Address: 5843 HONEYBELL COURT FORT PIERCE FL 34982
Legal Description: THE GROVE CONDO -SEC ONE UNIT 36c (OR 3999-394)
Property Tax ID #: 341050701430008
Site Plan Name: WILLIAM PHILLIPS
Project Name: PHILLIPS AC CHANGEOUT
Setbacks Front Back:
AC CHANGEOUT
SEER- 16
TONAGE-2
KW -8
Right Side: Left Side:
Residential X
Lot No.
Block No.
Haaitionai worK To ueej rtormea under this permit — Check all apply:
❑✓— HVAC L,I Gas Tank E]Gas PipingShutters ❑ Windows/Doors
_
Electric 0 Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: _ SFt. of First Floor:
Cost of Construction: $ 5559.00 Utilities:l Sewer D Septic Building Height:
1111V L
`{Nfiit►
Name WILLIAM PHILLIPS
Name: NICK SANSONE
Address: 5843 HONEYBELL COURT #36C
Company: SANSONE AIR CONDITIONING
City: FORT PIERCE State: FL
Address: 590 GOOLSBY BLVD
Zip Code: 34982 Fax:
City: DEERFIELD BEACH State: FL
Phone No. 772-834-2915
Zip Code: 33442 Fax:
E -Mail:
Phone No. 954-794-1035
Fill in fee simple Title Holder on next page (if different
E -Mail: SALES@SANSONE-AC.COM
from the Owner listed above)
State or County License: CAC051473
IT Value or construction is %zsoo or more, a RECORDED Notice of Commencement is required.
SUPPLE' UCTIN RWOMM
.r,.
DESIGNER/ENGINEER:
Not Applicable
STATE OF FLORIDA
MORTGAGE COMPANY: Not Applicable
Name: WILLIAM PHILLIPS
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
_
Name: NICK SANSONE
Address: 5843 HONEYBELL COURT FORT PIERCE FL 34982
this 21 day of NOVEMBER . 20!�2 by
Address: 5843 HONEYBELL COURT #36C
City: FORT PIERCE
State:
me of person fig statement
Person ly nown OR P e Identification
City: DEERFIELD BEACH State:
Zip: Phone
Pr duce
Prod ced
( gna re of Notary Publ
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
MYC SION#FF944638
BONDING COMPANY: Not Applicable
Name:
EXPIRES: February 07, 2D20
REVIEWS
Name:
Address: 590 GOOLSBY BLVD
SUPERVISOR
PLANS
Address:
City:
MANGROVE
City:
Zip: Phone:
Zip: Phone:
REVIEW
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 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, c suit with le der or an attorney before
commencin work or recoF ' our Notice of Commenceme
Rev. 8/2/17
Signature of Owner/ Less a/Contractor as Agent for Owner
Sign ture of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST. LUCIE
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 24 day of NOVEMBER 20_fl by
this 21 day of NOVEMBER . 20!�2 by
da 1,10SName
of person makingstatement
Per na y Known O duced Identification
me of person fig statement
Person ly nown OR P e Identification
Ty of I tif' ation
Type f Id ntification
Pr duce
Prod ced
( gna re of Notary Publ
( ign t of Notary Publi
Commission No. ASU O�EW1T
ASjUyLg EW1T'
Commission No.
MYC SION#FF944638
MYCO #FF�638
1�i
EXPIRES: February 07, 2020
EXPIRES: February 07, 2D20
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17