HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE.COMPLETED TOR
APPLICATION;TO BE,ACCEP,TED
Date 51 � ._
�, .�' �J . ..!r�. 'a' �: .. Permit;Niimber.
,rye •• �,
;r +• t
Building Permit..AppJication. . A•U. _
Planning,and Development-Services - G 5 2013 -_
lur_'•ii � 1�,
Building and Code Regulation Division
ST. Lucie County,-Permltting.
2300 Virginia Avenue;-Fort-Pierce-FL,-34982
Phone:(772)-462=1553- Fax: (772)462-1578-• COCYltllel'CIaI - - - R2Sidentlal
PERMIT-APPL-1CATI0N-•FOR. " '
._ Mechanical.-- • » �.
PROPOSED�IMPROVEMENT LOCATION ff `
c .lM1.aA f=kc'cz=3 . !.a •i .b r.rr. .,2, • ° -
Address: 8Lake_Vista Trl#205,:-
,. ,i,• ;, It- ; � .�„ II r r
;I, .., .;�f 31' .7 ' ! f. ;1 � ,_ t � '"!, t 1i I!t'i '!.' •1'. .t� .,'i ! J- ,'il`! ... I
Legal Description” VISTArST,LUCIE,BLDG 4&UNIT205(OR13010-2344;-3509=2862)
..ii,Jl ., fY; :r' :.i ii?• ,i'v.. .;.117 tines I ('3'" ,.,.."I:: .• '1: -'ii - :
-
Property Tax ID#: ,3422,;500-0250-000-7 _ Lot No :y;;
Site Plan Name`I �. :.,:'r�,• #. :z... J _.`:f .. '}5•,.ii . . .�:: .,- , --
Block No.
4•i•i . iii. �J,,�}•`111:` ,. .'d..+�f '•;''.. .. I`f;,J 1, ... <i. ,.... ..,i -_:?";i- ...,i.,i, �'�f S'?•.. .'1»•...�I._!�' .,, .. ,- .. '! rw.''�;:bi' "!•.' . .
Project Name t �+• .,•
Setbacks Front'';:3 ''''` Back`' `'"'`` ` `Right Side:' Left Side:' tY
' { `_• •"'
g
`DETAILED DE5CRIPTI:ON OF WORK
-
Replace 2 ton A/C system-with:-14--SEER 2 ton Goodman"equipment in the`same`locati' h:,6 KW'
heater.
• 1.l: ..J.i. 'I -.. � L'_
i
ECONSTRU-CT,ION. NFORM ATION �� = '' ' f
�' r ..T :1 4
Additionalwork to eperformed' under is permit-check w all apply:
HVAC- - Gas Tank p ❑Gas Piping - r Shutters -- Q Windows/Doors !'
Electric` '_Plumbing �Sprinkiers''` Generator' 'Roof---•- Roof'pitch
„
Total Sq. Ft of Construction:- `" 5 . Ft.of First Floor:
t.
Cost of Construction:$ 3200.00 , Utilities: Sewer Septic Building Height:- .
OWNER/LESSEE � q �� � a
CONTRACTOR ,
t ,
Name�Raeleh6 G Ramsey r' Name Frank S Manna
Address 18 1ake.V,is6:Trl-#205, Company 01�''i�Cond.•r& Htg. Inc:
City: Port St Lucie :r- - -. State:-FL Address:.2- , ;,'
700 Placid Ave ,..,,_
`ZiP,Code 3.4952 . Fax: Cit Ft Pierce ' State:
FL
y;' -
Phone No.7.7,2-332-77,021 << ' Zip Code. 34982 S , Fax:
,E-Mail: -Phone No. 772-337-3020. ;
- MIil:,freinkmanna@giaircond.com
'
Fill in-fee simple Title Holder on;next page"(if,diff;erent-"- f=Mail:' @g
r ,
from the Owner_listed above)..,' ,,.�,- .._ .�. _,"_ -+.,.,. .. State.-.o„r County-License:.CAC058050.- . • - '
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
5,0PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: X_Not Applicable MORTGAGE COMPANY: Not Applicable "
Name: Name:
' Address: Address:
City: State: City: State:
Zip: Phone Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: ; Not;Applicablle
Name: Name:
Address: Address:
City: City: .. _ . .
Zip: Phone: Zip: Phone: -
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a:permif•to do the work and installation as indicated:
1-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 permitwillauthorize the 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 reyiewyour'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:Yourfailure_ to-Aecord 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 financingaconsult with er.or an attorney.before
commencingV�Wofk Or record in our•Notice of Commencement.'
Signature of Owner/Lessee/Contractor as Agent for;Owner, Signatu a of Contractor/License Holder,
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instru Tentwas acknowledged.before m.e The forgoing instrument was,acknowledgeci befoie me
this V 5 day of 'Sar, t.�c'�� .20 V5 by this\5 day ofay ,''
'cir ( a0-, :W�arA
Name of:person making-statement Name;of person making statement
PersonalIV Known OR Produced Identification Personally Known OR,PrQducbd Identification
Type of Identification Type of Identification
Produced �c'(- fl L- Produced 'F 4 L
(Signature of Nota Public- tgGN SI nature of Notary
DEAN MARIE GNEN$
5. NN:r 111 M'j coMtS .�Z,Q . .y4
Commission No. €;` pt>�B#1 ryp�Undenadlets 00
Commission No: �Y * M pIR � mberG6,20203''
.. ,e "eonaeamNN 1a,. �e - 'Nota PublicUnderwd
o;.`.. yxrt BondedTtvti ry
REVIEWS:-:' FRONT. ZONING -----SUPERVISOR-" PLANS - VEGETATION SEATURTLE IVANGROVC`
COUNTER REVIEW '"':;REVIEW REVIEW REVIEW REVIEW REVIEW,
DATE
I
RECEIVED _... . _. .. _ . .
DATE .. ... _.... '.. .. ,,.., .
COMPLETED
Rev. 8/2/17 -
_ ;:. _