HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED F,9,9APPLICATIONTO•BE ACCEPTED
Date �, 4 Permit Number: O ,
RECEIVED
Building Permit Application .
Planning dridpevelopmentServices -' QUI .131 Z0,18
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,FortPierce-FL•34982
-Phone:-(772)462-1553 Fax: (772)462=1578'- C mI,, I e' rcial - - Residential X
PERMIT"APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENTLOCATION
Address:,9,006 Sand Shot,WAY 3721
Legal Descriptiori:"CASTLE'PINES CONDOMINIUM (OR 1810-471-)1 PHASE V,UNIT 3721-(OR 1871-1993)
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Property Tax ID M,3327-,50270157r00079. ,, Lot.No.
Site Plan Name: Block No..,
Project,Name: :4:
Setbacks Front Back: Right Side: Left'Side:
:- ..
DETAILED DESCRIPTION OF WORK. ' _ -
Replace existing 2 ton air conditioning,system. S� L..P„ ..
CONSTRUCTION`INFORMATION
'Additionalworkto e e orme under this permit—check a appy:
HVAC bas Tahk Gas Piping. Shutters - ]Windows/Doors
Electric � �Plumbing Sprinklers -Generator • ''-�Roof I Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:S,3150.00' Utilities:Sewer OSeptic, Building Height: ;
QUVN,ER/LESSEE l CONTRACTOR:
Name Timothy-:E,Parizariaro"- " Name•,Frank_S Manna.
Address:�5 Shadowood Dr' r ;' Com an 'Gateway Industries Inc.
P y
City: Hopewell State:NY Address..351 SUV Butler Ave y y.'
Zip Code: 12533. Fax City; Port,St Lucie St
ate!
Phone N_6;8455057766' Zip Code: 34983 Fax:
E-Mail: Phone No. 7723373020
Fill in"fee simple Title Holder on next page(if different E-Mail: frankmanna@giaircond.com
from.the Owner listed-.above) ; State or County License: CAC058050
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
-SUPPLEMENTAL"CONSTRUCTION'LIEN LAW INFORMATION:
DESIGNER/ENGINEER:. Not Applicable MORTGAGE COMPANY: - Not Applicable'-
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone 6 Rhone
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Ap' 'I"c ble'`'
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.
(.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 sfeucturev,
which is.in conflict with any applicable Horrie Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with.your Home O.wners'Association and.review your.deed for any:restrictions which•.ma,y apply.
In consideration of the granting of this requested permit,I do hereby agree that(will,in all respects,perform the work
in accordance-withthe 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 Coinhiericement 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 u intend to,obtain financing„consult with lender or an attorney;before
commencin or or re;9 our Notice of-Commencement.' ---
,Signature of Owner/Lessee/Contractor as Agent for Owner Signat ebf Con ractor/Lic se Holder;.'
STATE OF FLORIDA ,[ II - STATE OF FLORIDA
COUNTY OF u���I�` COUNTY OF
The f r oing instru pent was acknowledged efore me The f9��oIng instrument-Was acknowledge before me_
this 9 day of 20�by this_JJ_day of 20” ' by,
i j
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11k"l k l A
Name of person making statementName.of:person making statement
Personally Known " OR Produced Identification . Personally Known OR Produced Identification
Type of Ide U ieation Type of'identifica -
Produced ;; ; } Produced
:��l
(Signature of Notary Public-State of Florida) . (Signature of Notary Public-State of Florida
-Commission N ` aYP f _EN' S SENN mission N ; ", KA11[LS
Com o.
State of Florida'Ngtary Public
_V1, 11' _State of Florida'-Notary Public
*_ Commission,#G,G;207464 " ;�� omammission #Gu 207484
�'Off
um0" June 12, 20 2June'1 2022
REVIEWS ' ISOR I
PLANS - -VEGETA
COUNTER REVIEW ,REVIEW- • REVIEW REVIEW REVIEW''{` :REVIEW. ..
DATE
RECEIVED
-DATE
COMPLETED
Rev.8/2/17