HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0412312018 Permit Number:
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Building Permit Application
,Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34952
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 8808 One Putt Place ,Port Saint Lucie ,FL 34986
Legal Description: POD 33 AT THE RESERVE PRASE 1 KINGSMILL LOT 3 (OR 1948-1300 )
Property Tax ID #: 3334-500-0014-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.3
Block No.
A/C Change out, Install Rheem 5 Ton,16 Seer,10 KW Heater,S/C Horizontal Split System. LIKE FOR
LIKE.
CONSTRUCTION INFORMATION
Aittona wor to e-ej ormed under this permit—checKaII apply:
11 HVAC IJ Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5,400.00 Utilities: Sewer F] Septic Building Height:
OWNER/LESSEE:
Name Frances Perrone
Aririrp,;c 8808 One Putt Place
City. Port Saint Lucie State:FL
Zip Code: 34986 Fax:
Phone No.973-960-8431
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: KellyCertosimo
Company: Air Temp Air Conditioning ,Inc.
Addrev.s: 651 NW Enterprise Drive #107
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-340-0740
F -Mail: airtempac@yahoo.com
State or County License: CAG1814837
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 our Notice of Commencement.
signature -'of Owner0essee/Contractor as Agent for Owner
STATE OF FLORIDA 4,
COUNTY OF
The f ing instr nt waXaowledgpoefore me
this ayof 20 by
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of p r making statement
_KePersonally Known OR Produced Identification
Type of Identification
Produced
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Signature of ContGdctor/Licens�oTcrer
STATE OF FLORIDA
COUNTY OF S+
The f oing instrYtas ack wledged before me
thi d+ay of 2049byV
Name erforyfriaking statement
Personally Known OR Produced Identification
Type of Identification
Produced
Signature of Notary PuVic'- ic- Stat7*1
Siure of Notary Public- 5
Notary Pupl�eonn of ahan"tom ission No. y gme DonGO MahanCommission No. ry Publ,c Slate o4 F!o `1� a 1seion GG 178885
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COmin sstan GG 176 81ira5 o1f1812022REVIEWS FRONT SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17