HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/17/18 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 X Residential
PERMIT APPLICATION FOR: Mechanical E
PROPOSED IMPROVEMENT LOCATION:
Address: 4ZUU N AIA 7t914
Legal Description: OCEAN HARBOR SOUTH BLDG B UNIT 914 AND UND INTEREST IN COMMON ELEMENTS (OR 3452-1521)
Property Tax ID #:1423-501-0166-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side
A/C change out Model 4TTR4030 Condensing unit
Model TMM5AOB30 Air Handler
2.5 Ton 15 SEER 8 KW
HVAC ❑ Gas Tank ❑Gas Piping
0Electric ®Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 5000.00
Left Side:
apply:
Shutters
Generator
SqI- -F—t.� of First Floor: _
Utilities:InSewer Septic
Lot No.
Block No.
Windows/Doors
11 Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Peter J Layne Alice M Layne
Name: Mark Matakaetis
Address: 25 Plemont Rd
Company: Barker Air Conditioning
City: Rockleigh State: NJ
Zip Code: 07647 Fax:
Phone No.
Address: 1936 commerce ave
City: Vero Beach State: FL
Zip Code: 32960 Fax:
L,Phone No. 772,-562-2103
E -Mail: „ i
Fill in fee simple Title Holder on riext page Q if different
from the Owner listed above)
E -Mail: Jenrnferbarkerac@gmaii.com
State or County License: CAC057252
it value my consiruccnon is $zbuu or more, a RECURDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ENGINEER: _ Not Applicable
Name:_
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:_
Address
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNtR/ t:UNTRACTOR 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 contlict 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
commencing v45i'k or recordine''vodrAntire of Cnmmanramant r° A a i
Rev. 8/2/17
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _'day of `= 20� by "�
this) ,i day of x ktF rtR .20 `� by i
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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