HomeMy WebLinkAboutnew beh permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
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
�RaPO�SEi3 {MPRt3EME[�,LOCATION , > � s
Address: 1268 NETTLES BLVD
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 1268 AND PRO -RATA SHARE IN COMMON ELEMENTS (OR 3351-1917)
Property Tax ID #: 4502-501-1455-000-2
Site Plan Name:
Project Name: BEH RESIDENCE
Setbacks Front Back: _
Right Side: Left Side:
A/C CHANGE OUT: 3 TON, 14 SEER & 10KW HEAT
HVAC LJ Gas Tank
nElectric F]Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4895.59
"Gas Piping I _I Shutters
Sprinklers FIGenerator
Sq.
of First Floor: _
Utilities: t _1 Sewer F]Septic
Lot No.
Block No.
QWindows/Doors
aRoof Roof pitch
Building Height:
Ci1l�ERLESSEE� fi Z
COiTRACTOR
Name Bruce & Laurel Beh
Name: THOMAS RANGER
Address: 12751 SE Circle Dr
Company: RANGER AIR CONDITIONING
City: HOBE SOUND State: FI=
Zip Code: 33455 Fax:
Phone No. 772`485-0350
Address: 9845 SE FEDERAL HWY
City: HOBE SOUND State: FL
Zip Code: 33455 Fax: 772-546-0322
Phone No. 772-546-7777
E -Mail:
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
E -Mail: Permitting@rangerac.com
State or County License: CAC009726
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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RM
DESIGNERJENGINEER:
_Not Applicable
MORTGAGE COMPANY: _Not
Applicable
Name:
COUNTY OF ST. LUCIE
Name:
Address:
The forgoing instrument was acknowledged before me
Address:
this 17 day of AUGUST
City:
State:
City:
State:
Zip: Phone
Name of person making statement
Zip: Phone:
Personally Known x OR Produced Identification
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address: 9845 SE FEDERAL HWY
0
Address:
City:
City:
a
HAEL T. DABER
Zip: Phone:
Zip: Phone:
ISSION # FF22
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby 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 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 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 to obtain financing, consult with lender or an attorney before
rommPnrina work or rPrordina vnur Notice of Commencement.
Rev. 8/2/17
ignature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST. LUCIE
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this t7 day of AUGUST 2p j by
this 17 day of AUGUST
20by
THOMAS RANGER
THOMAS RANGER
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
o
0
a
(Signature of Notary Public
.. �s
ignature of Notary Public-
a
HAEL T. DABER
�'
ISSION # FF22
FF220227 M k11SSION N FF22
Commission No. ��
r_
mmission No. FF220227
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EXPIRES AWit 14, 2019
.' EXPIRES A 14, 204
14Cr)'39g-C'53 ';Wr* a,ySeNica on•
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17