HomeMy WebLinkAboutBuilding Permit ApplicaitonALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/0912018 Permit Number:
IROA
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 x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 7747 Greenbrier Cir, Port Saint Lucie, FL 34986
Legal Description: POD 19 PUD 11 Greenbrier (PB 41-5) LOT 78 (OR 2129-674)
Property Tax ID #: 3322-700-0083-000-2 Lot No. 78
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
A1C Change Out - Same For Same. 4ton 16SEER TRANE 4TTX6049J1000A E GAM513OC42M31 EA/
1Okw Heater. Existing Duct Work.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name George Craig
Name: Ray Lalloo
r orme urs er
Additional work to DGasTank
HVAC
t is permit —c ec
E]Gas Piping
a appy:
_ Shutters
❑ Windows/Doors
Electric ❑ Plumbing
Sprinklers
Generator
L�J Roof Roof pitch?
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 7456.00
Utilities: Sewer Eleptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name George Craig
Name: Ray Lalloo
Address: 7747 Greenbrier CIR
Company: CB Construction and Design Services
City: Port Saint Lucie State: FL
Zip Code: 34689 Fax:
Phone No. (732)915-5229
Address: 562 NW Mercantile PL
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax: (772)344-8104
Phone No. (772)337-6559
E -Mail:
Fill in fee simple Title Halder on next page ( if different
from the Owner listed above]
E -Mail: lynette@cbaircare.com
State or County License: CAC1819319
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
(BONDING COMPANY: Not Applicable
Name:
Address:
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 Af intend to obtain financing, consult with lend ttorney before
commencin work or recor our ice of Commencement.
Rev.B/Z/17
lgnature of Owner/ Lessee""'as Agent for Owner
lgnature of Contractof,/Licens der
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF -—
—The
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 9th day of March 20_ by
this 9m day of March 20_ by
Ramon Lalloo
Ramon L.alloo
Name of person making statement
Name of person making statement
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
{Signa a of Notary Public- State of FI=M-y2yC0%=P&S
{Sig u e of Notary Public- State of Florida)
. Corrlw is n No. FF948sB9 g" (� iNETTl1 HAMILTOl�i
omml�on No. FF948668
h3Y COIvIIvIJON #FF948668EXPIRES:
January 07,2020
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Rev.B/Z/17