HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INF -0 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/16/2018
Permit Number:
Building Permit Applicaltion
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. -,--
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7921 PLANTATION LAKES DR
Legal Description: RESERVE PLANTATION-PHASE I- LOT 60 (OR 4052-814)
Residential X
Property Tax ID #-P 3321-801-0060-000-2 Lot No.
Site Plan Name: Block No.
Project Name: PATRICK, JAMES AND KAREN
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
A/C CHANGE OUT FOR LIKE FOR LIKE SYSTEM - 4 TON SPLIT SYSTEM: CONDENSING UNIT
M# XC25-048-230, AIR HANDLER UNIT M# CBX40UHV-048-230 21 SEER WITH 9 KW HEAT
AHRI 5947377
CONSTRUCTION INFORMATION:
iditional work to
HVAC
Electric
�e ertormed
Ll Gas, Tank
El Plumbing
under this permit —check
Gas Piping
0 Sprinklers
appy:
Shutters
L Generator
aWindows/Doors
�J Roof
Total Sq. Ft of Construction: S- Ft. of First Floor:
Cost of Construction: $ 11,403.00 U iii ies:n Sewer[:] Septic Building Height:
Roof pitch
OWNER/LESSEE: CONTRACTOR:
Name DAMES C. AND KAREN L. PATRICK Name: KENNETH H. GEARY
Address: 7921 PLANTATION LAKES DR Company: BREATHE HEALTHIER AIR INC.
City: PORT ST. LUCIE State: FL Address: 3669 SE SALERNO RD
Zip Code: 34986 Fax: City: STUART State: FL
Phone No. 772-882-9665 Zip Code: 34997 Fax: 772-781-4634
E -Mail: KLP@SSEINC.NET Phone No. 772-221-8698
Fill in fee simple Title Holder on next page if different E -Mail.- SHANA@BREATHEHEALTHIERAIR.COM
from the Owner listed above) State or County License: CAC03559.3
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CQN-STRUCTIONIIE,N 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
0
Name: Name:
Addresse 3669 SE SALERNO RD Address:
city: City:
Zip:Phone: Zip: Phone:
OWNER/ CONTRACTOR AIFFIDVIT: 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 orrohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of thegranting of this requested permit, f do hereby agree that I will, in all respects, perform the work
in accordance with the approved flans, 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 properly. 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
commencin work or recordin our Notice of Commencement,
Siknature of Owner/ Lessee/con6actor as Agent for Owner S nature of Contractor/ icense Holder
STATE OF FLORIDA% STATE OF FLORID
COUNTY OF Y� d�,�rl COUNTY OF
The forgoing instrument was acknowledged before me The for oing instr ent was acknowledged before me
this � day of , 20 1 Vby this , day o, 20Z -by
0'
Name of person ma ing statement Name of person ma ing statement
Personally Known OR Produced Identificati Personally Known OR Produced Identificatio
Type of IdentIT11�"on Type of Identification
Produced �... ��- �--- Produced
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Miroslava Hernandez Mims1vaHemen.1.Notaq P
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Ar de�
ON— nfnnf P1 IU
(Signature of Notary Publ�- 4f orid4ltepf Florida {Signature of Notary Public- Staw * a)
&te
of Florida
° CO isg n Expires 9/21/201 �+,,
Commission NO. ��� , , �� �eal Commission No. ���f o2 d �o�AA��f �ssion Expires 911 �
roor�lmisr� No. FF 920540
CoffniWonL Na FF 92
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COULTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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