HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application RECEIVEQ
Planning and Development Services
Building and Code Regulation Division APR 17 2018
2300 Virginia Avenue, Fort Pierce Ft 34982 T e ty, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial R ---
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 2662 Conifer Dr
Legal Description: FIRST REPLAT IN MEADOWOOD UNIT THREE-LOT 57(OR 2359-409)
Property Tax ID#: 1334-506-0014-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
A/C change out. Same size and location. No ductwork.
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit-check all that appy:
HVAC 0 Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 2400.00 Utilities:Sewer E]Septic Building Height:
OWNER/LESSEE: // CONTRACTOR:
Name ;%2�/� 5,+Ice c- Name: Frank Manna
Address: �2_ Company: Gateway Industries Inc. (dba)G.I.Air Cond.&Htg.
City: F< - e I-<- State: Address: 351 SW Butler Ave.
Zip Code: j y S-( Fax: City: Port St Lucie State:FL
Phone No. 7�Z Z KY 5�� 5J Zip Code: 34983 Fax:
E-Mail: Phone No. 772-337-3020
Fill in fee simple Title Holder on next page(if different E-Mail: frankmanna@giaircond.com
from the Owner listed above) State or County License. CAC058050
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:Frank Manna
Address:2562 comer or Address:
City: State: City: PortSt Luce State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:351 SW Butler Aw. 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 recidirding your Notice of Commencement. "7
"1 -'
Signature of Owner/Lessee/Co tractor as Agent for Owner Signatyre of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instru ent was acknowledge efore me The for oing instr ment was acknowledged before me
this J day of 20Jby this day of 20 j4 by
A7-
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identif' Won Type of Identi ion
Produced Produced L
c
(Signature of Notary Public-State of Florida (Signature of NoLary Public-State of Florida)
I „u1,r,,,
Commission No. ,;'RY
KARE IELSEN Commission No KAREN S. ( EN
'RY n4Bi _ 4V f. mission
Commission# FF M1E 115637
"rr a y Commission Expires
My Commission Expues __ ° "
_ _ June
Fine M — -
REVIEWS (RTC; ' R PLANS VEGETATION SEA TURTLE M OVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17