HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/01/2018 Permit Number:
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ON 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 xx
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 5717 Spanish River Rd,
Legal Description: PORTOFINO SHORES-PHASE THREE-(PB 43-40) LOT 284 (OR 4072-807)
Property Tax ID#: 1312-503-0080-000-9 Lot No. 284
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace a/c equipment, like for like Rheem 4.0 ton 16 SEER 'IOkw electric heat
CONSTRUCTION INFORMATION:
Additional wtorFt_o_Uf4irtormed under this permit—_cFeck all that apply:
11HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
FlElectric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 4200-00 Utilities:Cn Sewer n Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Gary Perdew Name: Wanda Gahn
Address: 5717 Spanish River Rd, Company: AC Buddy, Inc.
City: Fort Pierce State: FL Address: 2451 Seminole Rd,
Zip Code: 34951 Fax: City: Fort Pierce State: FL
Phone No. 772-528-3841 Zip Code: 34951 Fax:
E-Mail: Phone No. (772)480-4136
Fill in fee simple Title Holder on next page { if different E-Mail: ACBUDDYINC a@GMAIL.COM
from the Owner listed above) State or County License: CAC1818909
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable MORTGAGE COMPANY: xx Not Applicable
Name: _ _ Name.
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable BONDING COMPANY: xx 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. ., i
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Signature of Owner/Lessee/Agent ignature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
E COUNTY OF _ _ COUNTY OF St.Lune
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1s1 day of !February e1 20 18--by this 1st day of February 20 18 by
Wanda Gahn
Name of erson acknowledging {3Vame of erson acknowledging)/
( nature of Notary P
ub
lic-State of Florida) (Si nature of Notary Public-State of Florida)
Personally Known 1i OR Produced Identification Personally Known V/'flR Produced Identification
Type of Identification Produced Type of Identification Produced _
Kristins R.Parsons
Commission No. (Seal) Commission No. P NOTARY�095C
Vi'Vz;
Kristina R.ParsonsNOTARY PUBLIC STATE()F FI.OR1rl�1cSTATE 0 yei�� Ex Tres 412312+321
Recrised 07/15/2014Comm#GGM838 p�cE - Expires 4/2312021
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