HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/26/18
Permit Number:
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line MECHANICAL
A/C CHANGEOUT
PROPOSED IMPROVEMENT LOCATION:
Address: 12010 RIVERBEND RD
Legal Description: BAY ST LUCIE LOT 8 (SUBJECT TO ESMT TO C AND SFFCD) (MAP 44/22N)
Property Tax ID #: 4422-502-0012-000-6 Lot No. 8
Site Plan Name:
Project Name
THOMAS S DIPAOLA
Setbacks Front Back: Right Side: Left Side:
INSTALL A NEW 5 TON 16 SEER TRANS SPLIT SYSTEM WITH 10KW HEAT
Block No.
Adltlonal worl<to be pertormed
®HVAC t
under tnls permit — cneck all mat
Gas Tank []Gas Piping
apply:
Shutters a Windows/Doors
_!
_
11 Electric 1:1
Plumbing Sprinklers 1:1
Generator 0 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 6980.00
Sq. Ft. of First Floor: _
Utilities:Sewer Septic
Name Thomas S DiPaola Mary T DiPaola
Address: 7 Captain Theale RD
City: BEDFORD State: UK
Zip Code: 10506 Fax:
Phone No. 347-723-9110
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
Name: KEVIN M SHARKEY
Company: SHARKEY AIR LLC
Address: 7862 SW ELLIPSE WAY
City: STUART State: FL
Zip Code: 34997 Fax: 772-220-3787
Phone No. 772-220-2487
E -Mail: INFO a&SHARKEYAIR.COM
State or County License: CAC1816853
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
REVIEW
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
✓ Not Applicable
BONDING COMPANY:
Name:
✓ Not Applicable
Address:
Address:
City:
COMPLETE
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 thepermit 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/Up obtain financing, consult with lender or,arr•attrney before
commencing work or recordinti'ce of Commencement.
�gnature of Owner/
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
this 26THday of JULY 20 18 by
(Name of person cknowledging )
(SignaTKown
Public- State of Florida )
Person✓ OR Produced Identification
Type odu.:------
KATE M WIEURNK
Commission No.
Revised 07/15/2014
DQMMISS(Gft*J FF982713
EXPIRES April 17, 2020
1 2 K-7t
Signature of Contractor/License
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
this26THday of JULY 20 18 by
(Name of p
(Signature-efNotary Public- State of Florida )
Personally Kn6wn V OR Produced Identification
Type of Identification Produced
Commission No.
KATE M WIlEcir-l"
-- __.....&e1nw 1jFP9a2713
EXPIRES A0117, 2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS