HomeMy WebLinkAboutBuilding Permit Application � uy0S1812:48p Louie's AJrOonditi7724295267 P.1
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ALL APPLICABLE INFO'MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numben.
Building Permit Application �
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34992
Phone:(772)462-1553 Fax:(772-)462-1578 Commercial Residential X
PERMIT APPLICATION FO R: MeChanical
nLOC
Address: 8460 FLORENCE bRIVE, PSL 34952
Legal Description:
Property Tax ID#: Lot No,
Site Plan'Name: CRISCI Block No.
Project Name: CRISCI
Setbacks Front Back: Right Side:_Left Side:
REPLACING EXSISTING 3 TON 14 SEER GOODMAN GPC1436H41 RESIDENTIAL HVAC
PACKAGE UNIT
1PONSTRUC r.ION-INFORMATION"
Additional work to be ertormed undertHispermit heck all=t apply:
ZHVAC fi Gas Tank F]Gas Piping Shutters F�Windows/Doors
17 Plumbing FSprinklers Generator ORoof Roof pitch
Electric
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 4150.00 Utilities:0 Sewer Septic Building Height.,
Address:9460 FLORENCE DRIVE Company: LOUIE'S AC SERVICE ING
City: PORT ST LUCIE State:FIL Address: 6931 HERITAGE DRIVE
Zip Code; 34952 Fax: City. PORT ST LUCIE State:FL
Phone No .772-618-5224 Zip Code: 34952 Fax: 772-429-6267
E-Mail: - Phone No. 772-335-7071
Fill in fee simple Title Holder on next page I If different E-Mail: LOUIES.AC@YAHOO.COM
from the Owner listed above) State or County License: CACO27371
if value of construction Is$MO or more,a RECORDED Notice of Commencement is required.
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May 091812:46p
Louie's Air Conditioning 7724295267 p•2
SUPPLEI111EN1"At: ONSTRIlCTXQN.LlEIU:'fAUSt INC?RN1ATfClt�4:
DESIGNER/.ENGINEER: Not Applicable MORTGAGE COMPANY- Not Applicable.
i
Name:EILM4CRISOI Name:LOUIS RWINDT -
Address:8460 FLORENCE DRIVE,PSL 34952 Address: 8460 FLORENCE DRIVE
City; PORT STLUCiE State: City: PORTSTLUCiE State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: —Not Applicable
Name: Name.
Address:6431 HERITAGE DRIVE Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFiDVIT:Application is hereby made to obtain a permitto do the work and installation as indicated.
I certify that no work or installation has commenced priorto the issuance of a permit.
St.Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflictwith any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohlbitsuch
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,l 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 usesto 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
commendnia work or recording our Notice of Commencement.
Signature of Owner/Lessee`/Contractor as Agent for Owner Signa re of Contractor/License Halder
STATE OF FLORIDA STATE OF FLORID.
COUNTY OF r L., 3c ��. COUNTY 0 1,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ii b day of_M 26_& by this_X2_day of, Do. 120 by
Name of person aking statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of identification �, Type of Identification w AMY K.PEARSON
Produced AMY K PEARSON Produced kxt#FF 235217
icn#FF 235217
Expires May 27,2019
Il 7 Expires May 27,201$
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1 (S' natu ' of Notary Public-State of Florida) (Signat e o Notary Public-State of Florida)
Commission No,� 1' , r7,�.1} (Seal) Commission No. fir e?,` � t'�- (Seal)
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.9/2/17