HomeMy WebLinkAboutBuilding permit application Aug 15 2018 03:35PM HP Fax page 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t� /
Date: Permit Number; I � 0 - 0q(v
,- �,..
RECEIVED
AUG 16 1018
Building Permit Application Permitting Department
Planning and Development Services St. Lucie Count,,
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
{ OPOK 1t IP tt311 1fA'EE!JT LOEATat l:
Address: 9632 Windrift Circle
Legal Description: PALM BREEZES CLUB(PB 49-32)BLK 3 LOT 18(OR 2875-1752)
Property Tax ID#: 2310500-0086-040-9 Lot No.18
Site Plan Name: Block No. 3
Project Name:
Setbacks Front Back: Right Side; Left Side:
Furnish and install a Carrier 3 ton, 15 seer heat pump system with 5kw heater.
C3N5RUCTIQN 1J1t�,IC33I�MA'1Ik�N
Additionalwork tofGasTank
orme un er t is permit—c ec a appy:
✓HVAC DGas Piping _Shutters a Windows/Doors
1-1 Electric 0 Plumbing Sprinklers Generator Roof Roo'pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3540.00 Utilities:]Sewer Septic Building Height:
OWNOIi.E SEE: corvjRArc4R:
Name Holly Urungu
Name: Donald O'Bryon
Address:9632 Windrift Circle Company: Preferred A/C&Mechanical Inc
City: Ft Pierce State:FL Address: 1643 Donna Rd
Zip Code: 34945 Fax: City: West Palm Beach State:FL
Phone No. Zip Code: 33409 Fax: 561-478-0089
E-Mail: Phone No. 561-689-1093
Fill in fee simple Title Holder on next page{if different E-Mail: nicole@preferredacmech.com
from the Owner listed above) State or County License: CAC1817665
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Aug 15 2018 03:35PM HP Fax page 2
SLIPPLEM NT4 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Holly u,-gu Name:Donald O'Bryon
Address:9632 Windrifl Circe Address: 9632 Wind riftCircle
City: -tine<ce State: City: West Palm Mach State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address:1643 Donna Rd Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: Application is hereoy 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 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 grarting 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
cornmencing work or recording our Notice of Commencement.
Sig re of Owner/Lessee/Contractor as Agent for Owner Si ature of Contractor/License Holder
STATE OFF. ',1Sf STATE OF FL
.0�q
COUNTY OF 'int ��.t� COUNTY OF 1``��1w)—t
The for Ding instr ment was acknowledged before me The for Ding instr ment was acknowledge before me
this day of 20J by this day of 20j_Z by
i
Name of person aking statliilmert Name of pars n makingstat�en nt
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of identification Type of Identification
Produced _ _ Produced
r
N � �-
(Signature of NoZ�w
L_RamseY (Signature of Notary Public-St a of F )RerrlseY
RY PUBLIC
Commission No. E OF FLORIDA Commission No C NOT Y PUBLIC
r*GGOW29STA FLORIDA
res 1112/2020 Comrr*00044529
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17