HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 ao �� Permit Number:00 OSSA
'= J i _ """„ RECEIVED
Building Permit Application MAR 2 0 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9312 AVENEL LANE
Legal Description: PINES AT THE RESERVE LOT 42 (OR 3675-20)
Property Tax ID#: 3322-502-0048-000-7 Lot No.42
Site Plan Name: Block No.
Project Name: LINDA PATTYN
Setbacks Front Back: Right Side: _Left Side:
KjTAIHD�DECR�IPTIONOF WORK:
AC CHANGE OUT OF A YORK 5TON UNIT to
CONSTRUCTION INFORMATION:
Additional work to be pertormed under this permit—c ec a apply:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 3950 Utilities:Cn Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name LINDA PATTYN Name: GRETA B SMITH
Address:9312 AVENEL LANE Company: ALL YEAR COOLING AND HEATING
City: PORT ST LUCIE State:I'L Address: 1345 NE 4TH AVE
Zip Code: 34986 Fax: City: FORT.LAUDERDALE State: FL
Phone No.772-882-9953 Zip Code: 33304 Fax:
E-Mail: Phone No. 954-566-4644
Fill in fee simple Title Holder on next page ( if different E-Mail: DDANIELS@AYCAIR.COM
from the Owner listed above) State or County License: CAC058160
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:
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 ney before
co mqn-iskng work or recording our Notice of Commencement.
S
Si atur of Owner/Lessee/Contractor as Agent for Owner Signatu o ontracto cense Holder
TATE FLORIDA STATE O FLORIDA
COUNTY OF',AINI IICF COUNTY OF 13ROWARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_22_day of DECEMBER 20 17 by this 29 day of DECEMBER 20 17 by
DIMITRIUS DANI'LS DIMITRIUS DANIELS
(Name of person a wl (Name erson ackno edging)
(Signature of Notary Public-Sta e o Florida) (Signature of Notary Public-State of Florida )
x 5 Personal)
Personally Known OR Produced Identification y Known x OR Produced Identificat'
Type of Identification Produced stipe of Identification Produced
0
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Commission No. (Seal gP4 o�� mmission No.
O po 4.
Revised 07/15/2014 <1��\
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REVIEWS FRONT SUPERVISOR PLANS VEGETATION TURTLE MANGROVE
COUNTER RE E REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS