HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/26/2018 Permit Number:
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: To Select from dropbox, click arrow at the end of line
Address: 3729 Westchester Ct Port St Lucie FL 34952
Legal Description: Savanna Club Plat Phase Three Blk 41 lot 85 (OR 1365-767)
Property Tax ID p: 3425-705-0086-000-4 Lot No. 85
Site Plan Name: Joseph Matsey Block No. 41
Project Name: Flynn's AC Services
Setbacks Front Back: Right Side: Left Side:
i�ETAILED DESCRIPTION Of WORK:
Replace a 4T, 14 seer, Ac system with a 10KW heater
Additional work toe e orme un ert ispermit—checka appy:
Z✓ HVAC 11 Gas Tank E]Gas Piping _Shutters ❑ Windows/Doors
11 Electric El Plumbing Sprinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq Ft of First Floor:
Cost of Construction: $ 4830 Utilities: Sewer OSeptic Building Height:
Name Joseph Matsey Name: Joe Flynn
Address: 3729 Westchester Court Company: Flynn's AC
City: Port St Lucie State: FL Address: 1323 SW Thelma St
Zip Code: 34952 Fax: City: Palm City State: FL
Phone No. 772-631-3432 Zip Code: 34990 Fax:
E -Mail: Phone No. 772-283-4114
Fill in fee simple Title Holder on next page ( if different E -Mail: mjb@flynnac.comcastbiz.net
from the Owner listed above) State or County License: CAC055482
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 andcovenantsthat 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
commencingrecordingour Notice of Commencement.
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Signat Owner/ L ee/Contractor as Agent for Owner
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s a ure of Co r/Li nse Holder
STATE OF
COUNTY OF FLORIDA,ly� 1 /�
STATE OF FLORIDA
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The fo oing instrument was acknowledged before me
this `� day of �! _ . 20j 5 by
The forgoday of 25 '� bying instrument was acknowledged before me
this
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Name of pertgn making statement
Personally Known OR Produced Identification
Name of i5erson making s atement
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Prlod�1ucce�d/�
Produced
(Signature of Notary Pubii -State of Florida Brow(Signature
of Notary Public- State of Florida )
WON"'.Brom
Commission No. fIfXAARYPUBt�
STATE OF FLORIDAlk#=
Cam* 00030338
Commission No. NOT""LI I.IC
IRSTATE OF FLORIDA
Cor "G13IM 3B
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17