HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/8/2018 Permit Number:
e
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
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: 8921 Sandshot Ct, Port St. Lucie, FL 34986 J�LZ.
Legal Description:
Property Tax ID#: 3327-502-0285-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF.WORK ,
Replacement of a 2 ton 15.5 SEER split a/c system with 5 kW heat;like for like
CONSTRUCTION INFORMATION:
iti onal work toe e orme un er is t permit—check a appy:
HVAC E]Gas Tank Das Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator F] Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3453 Utilities:cnSewer 0Septic Building Height:
OWNER/LESSEE., ,CONTRACTOR:
Name Brian Breedy Name: James J Wauters
Address:30 Shale.Dr Company: Just Chillin'HVAC LLC
City: Ajax State:ON Address: 5422 NW Cromey St
Zip Code: L1,T 3V9 Fax: City: Port St. Lucie State:ON
Phone No.416-524-8468 Zip Code: 34986 Fax:
E-Mail: Phone No. 772-940-4373
Fill in fee simple Title Holder on next page(if different E-Mail: lustchillinair(Photmail.com
from the Owner listed above) State or County License: 26326
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGN ER/ENGINEER:
NFORMATION: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 attorney before
commencing work or recording your Notice of Commencement.
Signature of wner/Agent/Lessee Si nature o ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF _'4 n--- ,
The forgoing instr Tent was acknowledged before me The fo oing instru nt was acknowledged before me
this�day of ,k,e, 20 It by this day of 20-2 by
(Name of person acknowledging) (Name 4person acknowledging)
gnature of Notary Public-Nte of Florida) (Signature of 14otary Public-StatedFlorida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced __ n r. _ Type of Identification Produced
j , LASHAHNA INGRAM t.r. :rte=-. _•- ..:z
Commission No. °<Pa^a1;- Commission No. i
`2 Nota(Seai)ic State of Florida LAS(SeaI)INGRAM
My Comm.Expires Deo 20,2018 r�ua` Notary Public-State of Florida
+ Qc r.nmission#FF 177249 ; My Comm.Expires Dec 20,2018
SN9 OHO`:
Bonded through National Notary Commis�Notary
Revised 07/15/2014 - '` Bonded throu
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED