HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/4/2018
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1.553 Fax: (772) 462-1578
Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 2813 SLICE COURT, PORT SAINT LUCIE, FL 34952
Legal Description: LINKS AT SAVANNA CLUB (PB 40-39) BLK 33 LOT 16 (OR 2890-2790)
Property Tax ID #: 3425-707-0026-000-2
Site Pian Name:
Project Name:
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 16
Block No. 33
AIC Change Out, Install RHEEM 3.5 Ton,14 Seer,10 KW Heater,Package Unit, LIKE FOR LIKE
0
CONSTRUCTION INFORMATION:
Addicional work to be erfoli :!cun er t is permit — c ee a appy;
Fv]
HVAC Gas Tank ❑Gas Piping_ Shutters Windows/Doors
11 Electric Plumbing Sprinklers F Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4,900.00
OWNER/LESSEE:
Name Harold W. Billingsley
S Ft. of First Floor: _
Utilities:Sewer Septic
Address: 2813 Slice Court
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 703-624-6654
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Kelly Certosimo
Building Height:
Company Air Temp Air Conditioning, Inc.
Address: 651 NW Enterprise Drive Suite#107
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax: 772-281-2907
Phone No. 772-340-0740
E -Mail: airtempac@yahoo.com
State or County License: CAC1814837
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DES
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City.-
Zip:
ity:Zip: Phone:
Not
State:
— Not Applicable
MORTGAGE COMPANY: 'Not Applicable
Name:
Address:
city: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:_
Zip: _ Phone:
Not Applicable
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 Couniv 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 fender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDAj STATE OF FLORIDA
COUNTY OF ,c COUNTY OF_-� cs
The f rgoing instr ent was acknowledged before me
this day of 20le by
�fi, -
Na e f per o" making statement
Personalty Known � OR Produced identification
Type of identification
Produced
The forgoing instr ent was a k—nowledged efore me
this day of 20_,LS by
Nam f pe s n making statement
Personalty Known OR Produced Identification
Type of Identification
Produced
(Si ature of Notary Public- State of Florida } (Signature of Notary Pubhc- State �of Florida }
Commission No.
Commission No. 1 `1 linNotary
Catherine Donna Nlahane of �
at
M In 176881
xpres01J78!2022
REVIEWS OR PLANS
COUNTER REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Rev_ 8/2/17
V
rotary Public State of F
Catherine Dona fetal
.az MY Commeseunn r- r- —
EGETATIONREVIEW
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EVIEWREVIEW