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HomeMy WebLinkAbout5018 Silver Oak Drive Permit App SLC ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9-26-18 Permit Number: 0 MIDI Building Permit Application Manning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 5018 SILVER OAK DRIVE Legal Description: INDIAN RIVER ESTATES-UNIT 05-BLK 27 LOTS 25 AND 26(MAP 34/02S)(OR 3882-2554) Property Tax ID#t: 3402-606-0245-000-2 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE HVAC CHANGE OUT 2 TON 17 SEER 5 KW CONSTRUCTION INFORMATION: � Additionalwoo to e er orme Linder t ds permit check a apply: LJHVAC Gas Tank Gas Piping _Shutters Windows/Doors 11 Electric © Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 5811.00 Utilities: Sewer E Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name WILLIAM SETTLE Name: FREDERICK MILLER Address:5018 SILVER OAK DRIVE Company: MILLER'S CENTRAL AIR City: FT PIERCE State:FL Address: 20 W INTERLAKE BLVD Zip Code: 34982 Fax: City: LAKE PLACID State: FL Phone No.772-240-1481 Zip Code: 33852 Fax: E-Mail: phone No. 772-785-8080 Fill in fee simple Title Holder on next page ( if different E-Mail: OFFICEOa MILLERSCENTRALAIR.COM from the Owner listed above) State or County License: CAC058675 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address.- City: City: Zip: Phone: Zip: Phone: 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 Horne 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 commenctAg work or record,ing your Notice of Commencement. Siratu t7f ner/Lessee/Contractor as Agent for Owner Sign tom'of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF �JL L&LA L COUNTY OF — L_l-.c_,;, e. The f9igoing instpu me t was acknowledg efore me The r Ding instrument was acknowledgedbefore me this "day of 20by this day o 20I& by V( 1 % kku er n making statement Name of per making statement ersonal�Kno.wnt OR Produced Identification Personally Known OR Produced Identification Tyke-e + aion Type o cation Produced Signature of Notary Public-5tat • � I SF" ignature of Notary Public-State of Florida i 1� 96 _rr Commission No . 1*r -1I aliy5.2o20 Commission No. �T' ZIPM rr 013N Y '�xptT,o,K+�q°a :�,..,y,�; pAN®MM���u Ff Via°0 REVIEWS ONT ZONING SUPERVISOR PLANS \/E ; N x �n MANGROVE COUNTER REVIEW REVIEW REVIEW REV1 ` 'Q REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/7/17