HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 04/02/2018 Permit Number:
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: 4803 Pinetree Drive
Legal Description: INDIAN RIVER ESTATES -UNIT -04 BLK 36 LOT 10 (MAP 34102N) (OR 3530-1731)
Property Tax ID #: 3402-605-0075-000-6
Site Plan Name:
Project Name:
Setbacks Front Back: night Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing a/c equipment, like for like
Rheern 4.0 ton 16 SEER with 1 Okw electric heat
Condenser RA1648AJ1 Air Handler RH1T4821STAN
Lot No. 10
Block No. 36
CONSTRUCTION INFORMATION:
Additional work toje net orme under this permit —check a appy:
11HVAC E] Gas Tank []Gas Piping In Shutters E]Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator E]Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4200.D0
Sq. Ft. of First Floor:
Utilities: n Sewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Christopher & Annetta Smith
Name: Wanda Gahn
Address: 4803 Pinetree Drive
Company: AC Buddy, Inc.
City: Fort PierceState: FL
Zip Code: 34982 Fax:
Phone No. 772-224-9248
Address: 3746 Seminole Rd.
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. (772) 480-4136
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: CAC1818909
State or County License: acbuddyinc@gmail.com
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: j
DESIGNER/ENGINEER: xx Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name: WandaGahn
Address:
Address:
City: State:
Zip: Phone
City: Fort Pierce State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: ,Not Applicable
Name:
Address: 3746 Seminole Rd.
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 thepermit 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,
accessary 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 Commencerrren.t
Rev. 8/2/17
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/license Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF st Lucie
The forgoing instrument was acknowledged before me
The foxing instr ent was acknowledged before me
this day of _ 24 by
this day of 20 by
Wanda Gahn
Name of person making statement
Name of person making statement
U
Personally Known OR Produced Identification
Personally Known xx OR Produced Identificach
Or
Type of Identification
Type of Identification
g QJ
Produced
Produc d NIA , p N
4�� g
U
(Signature of Notary Public- State of Florida)
nature of Notary Public- State of Florid
m
Commission No. (Seal)
,may
Commission No. GG090836 t3
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17