HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/26/2018 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: McChanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7610 Greenbrier Circle, Port Saint Lucie, FL 34986-3303
Legal Description: POD 19 PUO It GREENBRIER(PB 41-5)LOT 69(OR 4008-1249)
Property Tax ID#: 3322-700-0074-000-6 Lot No. 69
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
LDETAILED DESCRIPTION OF WORK:
A/C Change Out,lnstall Rheem 5 TON ,16 SEER,10 KW Heater S/C Split System ,LIKE FOR LIKE
[CONSTRUCTION INFORMATION:
Additional work to e e orme un er t is permit—check a app y:
R]HVAC Ei Gas Tank 0Gas Piping _Shutters O Windows/Doors
nElectric 1:1 Plumbing Sprinklers Flenerator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction: $ 5,400.00 Utilities:[] n
Sewer LJSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name LindaZachry Name: KellyCertosimo
Address:7610 Greenbrier Circle 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. 631-838-1585 Zip Code: 34986 Fax:
E-Mail: Phone No. 772-340-0740
Fill in fee simple Title Holder on next page( if different E-Mail: airtempac@yahoo.com
from the Owner listed above) 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: Prone:
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 wort,
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 poois,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 Own r/Lessee/Contractor as Agent for Owner Signature of Contracto /License Holder
r.
STATE OF STATE OF
COUNTY OF FLORIDA COUNTY OF® 1
The forgoing instru nt was a nowledge fore me The t rgoing instrument was a4n Iedged fore me
this day of��20�y this day of 2i) y
Na a of perso m king statement Name of pe s n aking statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of ldentificat o Type of Identification
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Produced Produced
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f ;� ®n NOta"Y P7+bkC State ?ro4""r'G Notary Put}alc State of Ronda CaYhenne Don of Poona
Cathenne Donna Mahan m na c
"" " M Crammr �sor'�o�F' Commrssron GG Mahan17-
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( i nature of Notary Pu ic- 6 of Ai Mich°I"W022 (Signature of Notary Pu lac- r' 2z
Commission No. (Seal) Commission No. (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17