HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:�• ,� 1� Permit Number:
RECEIVES
Building Permit Application ,
Planning and Development Services N U 1 i
Building and Code Regulation Division ST. Lucie County, Permit !ny
2300 Virginia Avenue, Fort Pierce FL 34982 , r
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 148 LOBSTER RD
Legal Description: RIVER PARK-UNIT 9-PART 'A' BLK 73 LOT 11 (MAP 34/28N) (OR 1757-417)
Property Tax ID#: 3419-560-0011-000-6 Lot No. 11
Site Plan Name: Block No. 73
Project Name: Adolf J Donaubauer
Setbacks Front Back: Right Side: Left Side:
i DETAILED DESCRIPTION OF WORK:
A/C CHANGE OUT OF A 2 TON 16 SEER 5 KW SYSTEM
CONSTRUCTION INFORMATION:
Additionalwor to e e orme un er t is permit—c ec a app y:
HVAC Gas Tank Gas
❑ Piping Shutters W'
ndows Doors
Electric Plumbing Sprinklers _
Generator El Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 2400 Utilities:cn Sewer F Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name Adolf J Donaubauer Name: GRETA B SMITH
Address:9801 SE High Borne Way Company: ALL YEAR COOLING AND HEATING
City: Hobe Sound State:FL Address: 1345 NE 4TH AVE
Zip Code: 33455 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.
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 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 our Notice of Commencement.
s
ature of wner/Lessee/Contractor as Agent for Owner Signatur f Contractor Ice Holder
STATE OF FLORIDA STATE O FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF BROWARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Z9_day of DECEMBER 20 17 by this 29 day of DECEMBER 20 17 by
DIMITRIUS DANILtS DIMITRIUS DANIELS
(Name of perso (Name ledging)
(Signature of Notar ublic-State f Florida ) (Signal f Notary P lic-State of Florida)
Personally Known x OR Produced Identification`•. Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. e ISP, 01� `�� Commission No. CPN\ 3126
OD cps.gyp ,. ,'vu •. YM FS �� gc
Revised 07/15/201 p� ., �� pis'
REVIEWS FROI .T''�R°' '` i '
ZONING SUPERVISOR PLANS VEGETATI6I .---'SEA TURTLE MANGROVE
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DATE
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