Loading...
HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2/20/18 Permit Number: Building Permit Application Planning and Development Services Building and Cade 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: 8533 Belfry Place ,Port Saint Lucie FL 34986 Legal Description: POD 28 at the reserve lot 47 (or 3835-928) Property Tax M#: 3327-701-0050-000-0 Lot No. 47 Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: A/C Change out , Install RHEEM 4 TON 16 SEER, 1OKW Heater,S/C Split System, LIKE FOR LIKE CONSTRUCTION INFORMATION: Additional work to be erformed under this permit—Efieck all that apply: HVAC Gas Tank DGas Piping Shutters Windows/Doors � 11 Electric ❑ Plumbing O Sprinklers OGenerator ❑ Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 4700.00 UtilitiestSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameSalvatore Catapano Name: Kelly Certosimo Address:8533 Belfry Place Company: Air Temp Air Conditioning , Inc. City: Port St Lucie State-.FL Address: 651 NW Enterprise Drive#107 Zip Code: 34986 Fax: City: Port St Lucie State:FL Phone No.(772)828-3957 Zip Code: 34986 Fax: E-Mail: Phone No. (772)340-0740 Fill in fee simple Title Holder on next page if different E-Mail: airtempac@yahoo.com from the Owner listed above) State or County License: CAC1814837 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:Salvatore catapano N am e.Kelly Certosim Address:8533 Belfry Place•Port Saint Lucie FL 34988 Ad d ress: 8533 Belfry Place City: Port st f ucie State: City: Port St Lucie State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address:ssf law Enterprise Drive#1 a7 Address: City: City: Zip: Phone: Zip: Phone: 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, consult with lender or an attorney before commencing work or recording our Notice of Commencement. K -, Signature of Owner/Lessee T ontractor as Agent for Owner Signature of Contra for/License Holder i STATE OF FLORIDA i STATE OF FLORIDA COUNTY OF STD-M �r COUNTY OF STLUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this `tday of 1 20 by this fday of }'_ '; 20' 7, by , L Name©frson making statement Name of rson ki mang statement Personally Known OR Produced Identification Personally Known' OR Produced Identification Type of Identification Type of ldentificatio Produced Produced (Signature of Notary Public-Stat r i a Notary Public State of Fi �5ig ture of Notary Public-State o Catharine Danna AAa an ; NoWry Pubiie State F rda Commission No. ( a Comm�rs�on GG 176 at1om ssion No // a[ L '•l: �/ ` �Cafherinr;Donny a n ,yiptrfs 0111 B12022 hrly CtNT1RlilQltifF LiG 7881 fxplrts 0111812o22 04 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17