HomeMy WebLinkAboutRichard AC#1 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/27118 Permit Number:
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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: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9616 Enclave Place,Port Saint Lucie, FL 34986
Legal Description: ENCLAVE AT THE RESERVE LOT 5(OR 2222-2696)
Property Tax ID#: 3322-800-0008-000-0 Lot No. 5
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: night Side: Left Side:
DETAILED DESCRIPTION OF WORK:
A/C Change Out, Install Rheem 3Ton 16Seer,7.6KW Heater, SIC Split System ,LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional workto e orme un er t is permit—c ec a apply:
❑✓ HVAC E Gas Tank ❑Gas Piping _Shutters L l Windows/Doors
1-1 Electric 0 Plumbing OSprinklers L I Generator Roof Roof pitch
Total Sq. Ft of Construction: Scl. Ft.of First Floor:
Cost of Construction:$ 4,700.00 Utilities:0 Sewer[]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Gary Richard Name: Kelly Certosimo
Address:9616 Enclave Place Company: Air Temp Air Conditioning ,Inc.
City:
Port Saint Lucie State:FL Address: 651 NW Enterprise Drive#107
Zip Code: 34986 Fax: City: Port Saint Lucie State:FL
Phone No.516-807-4645 Zip Code: 34986 Fax:
E-Mail: gary@perichard.com Phone No. 772-340-0740
Fill in fee simple Title Holder on next page( if different E-Mail: aMempac@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:_ 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:
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.your Notice of Commencement.
Signature of Own /Lessee/Contractor as Agent for Owner Signature of Contra or/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF i COUNTY OF L
The rgoing instr m t was cknowledg efore me The going instr t was cknowledgefore me
thil day of 20by this day of ' 20 by
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me If per so making statement Name person making statement
Personally Kn n OR Produced Identification Personally Knovvh OR Produced Identification
Type of Identification Type of tdentifieatio
Produced r Produ
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q�r Po NotaH Publia State of Flaridz ��11n� -x/ ,,SLY°u
r Catherine Donna Mahan � o data y Pubi c State or Flor da
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Si nature`oy P' f5sbtattl# lorida} (Signature of Notary ic°Stecvfitidsco t7sas,
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Commission o. (Seal} Commission No.
( I C� 1-7
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17