HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (- -��' ti� Permit Number: (Q
--�� : - _ -:---.-- RECEIVED
Building Permit Application JUN 1 1 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 IIVIPROVEII%IENT'LOCi4Tl0`N. 1
Address: 418 E. Coconut Avenue, Port St. Lucie, FL 34952
Legal Description: River Park, Unit 2-BLK14 Lot 4
Property Tax ID#: 3419-510-0122-000-2 Lot No.4
Site Plan Name: Block No. 14
Project Name: HVAC Change out
Setbacks Front Back: Right Side: Left Side:
DETAILEDDESCRIPTION-OF WORK =,
Change out AC unit like for like, replacing with 3 ton Carrier Performance, condenser 24APB636A003,
Air Handler FX4DNF037L00, 8 KW heat, 16 SEER
CONSTRUCTION"INFORMATION.
Additional work to .e e orme under this permit—c hecka appy:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric F-1 Plumbing Sprinklers r_1 Generator F]Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ $3700.00 Utilities: Sewer F]Septic Building Height:
OWNER/LESSEE:: CONTRACTOR ..
Name Nicholas Logiodice Name: Keith C.Thompson
Address:418 East Coconut Avenue Company: AC Keith Inc.
City: Port St. Lucie State:FL Address: 690 SW Pueblo Terrace
Zip Code: 34952 Fax: City: Port St. Lucie State:FL
Phone No.772-267-2913 Zip Code: 34953 Fax:
E-Mail: Phone No. 772-519-1351
Fill in fee simple Title Holder on next page(if different E-Mail: ackeith1@att.net
from the Owner listed above) State or County License: CAC1813976
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTfON 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 BONDINGCOMPANY: 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
commencipg work or recordigg your Notice of Commencement.
Signature of Owner/ffesseeLeontractor as Agent for Owner Si nature W—Contractoi/Licelmf of-Contractor/LiceHolder
STATE OF FLORIDA STATE OF FLORIDA ( �
COUNTY OF COUNTY OF
The for ng Inst e t was acknowledged before me The for ping instru ent was acknowledged before me
this ay of 20& by this day o 2611 by
Name of person making stateme t Name of person making stat6ment
Personally Known OR Produced Identification Personally Known OR Produced Identificationy
Type of Identification Type of IdentificatioQ,n
Proclumd Produc �L p LL
L 9"161,A
V J
(Signatur of No lr ublic (Signature of of ry Public-Stat a
,• CARLAJ.COULTER �/l� �' �''•
Commis ion N �/ °_($�p�°]yPubic-State of Florida Commissio N . 7 �� a� CARLAJ.000LTER
=_• CommissioncGG142441 va� �� e V�taryPublic-StatecfFlori,a
%9 aP Commission c GG 14244?
'ScF fl ao', My Comm.Expires Oct 30,2021 ?•' My Comm,Expires Oct 30,20 1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17