HomeMy WebLinkAboutBuilding Permit Application I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE CCEPTED
Date: 7-5-2018 Permit Number: 1209 - 011
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Building Permit Appl
- ication
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 IIt/IPROUEMENT LOCAT(DON
yNOW
Address: 3068 Five Iron DR
Legal Description: LINKS AT SAVANNA CLUB (PB 40-39) BLK 34 LOT 1 1 OR 4081-2404)
Property Tax ID#: 3425-707-0034-000-1 Lot No. 1
Site Plan Name: Block No. 34
Project Name: Deborah L Holley
.Setbacks Front Back: Right Side: ILeft Side:
DETAILED DESCRIPI"ION DF 1NORK r
A/C CHANGE OUT OF A 3.5 TON 14 SEER 10 KW YORK PACKAGE UNIT
CONSTRUCTION INFORN[A�fION
' itiona wor to. e er orme under this permit-check all.Mutters
apply:
❑✓ HVAC. 0G.as Tank Gas Piping Q Windows/Doors
Electric El Plumbing Sprinklers Ge erator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of Fist Floor:
Cost of Construction: $ 3900 Utilities: _Sew 'rSeptic Building Height:
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01r1/NER/LE5SE01CONTRACTOR
a
Name Deborah L Holley Name: G*TA B SMITH
Address:3068 Five Iron DR Company: ALL YEAR COOLING AND HEATING
City: Port Saint Lucie State:FL Address: 1345 NE 4TH AVE
;Zip Code: 34952 Fax: City: FOR .LAUDERDALEState:FL
Phone No.360-359-0017 Zip Code: 3304 Fax:
E-Mail: Phone No.;954-566-4644
Fill in fee simple Title Holder on next page(if different E-Mail: E ,ARRIS@ALLYEARAC.COM
from the Owner listed above) State or C aunty License: CAC058160
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SU# PI. tUIENTAk C4NSTRl1�TION LIEN LA11U tNFRMTIDN
u .
DESIGNER/ENGINEER: _ Not Applicable MORTGA' E COMPANY: _Not Applicable
.Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDINJ 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 authorizethe 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 eed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree tha I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codesand St. lessory
County Amendments.
The following building permit applications are exempt from undergoing a full currency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commenc�lment 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, consul ith lender an attorney before
,commenci6g work or recording our Notice of Commenceme t.
6"'01 s
Signature of Owner/Lessee/Contract as Agent for Owner Sign reo ;Contr for/Llcens Holder
STATE OF FLORIDA ST TE OF FLORIDA
COUNTY O F SAINT LUCIE C U NTY OF BROWARD
The forgoing instrument was acknowledged before me The forgoin�instrument was acknowledged before me
this s day of JULY , 20 18 by this 5 d y of JULY 20 18 by
Deborah L Holley-,- GRETA B.SM H
(Name of person acknowledging) (Name f son acknowledging)
(Signature of Notary ate of Florida) � t ,� otar Public-State of Florida)
Personally Known x OR Produced Identif. .10.. r ;ally . n x OR Produced Identification
Type of Identification Produced I' e of e tification Produced
f�?a, •'� � \fes"G �.�" � � ,�,
Commission No. a P mmissio ! No.
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION S TLE MANGROVE
COUNTER REVIEW REVIEW REVIEW I REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS